Potomac Eldercare Physicians
Internal Medicine in Potomac, MD. Organization (NPI-2).
NPI number1760028906
StatusActive
Last updated in NPPESNov 22, 2019
Details
- NPI
- 1760028906
- Entity type
- Organization (NPI-2)
- Legal business name
- Potomac Eldercare Physicians
- Organization subpart
- No
- Enumeration date
- Nov 22, 2019
- Last updated
- Nov 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
11100 Powder Horn DrPotomac, MD 20854-2539
Phone 202-604-1405
Mailing address
11100 Powder Horn DrPotomac, MD 20854-2539
Phone 202-604-1405
Authorized official
Matthew Bruntel
DO
2026041405
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