institution
Potomac Healthcare Alliance
Pain Clinic/Center in Frederick, Maryland
NPI 1164775979

Potomac Healthcare Alliance is a Pain Clinic/Center based in Frederick, MD and is specialized in Pain. Potomac Healthcare Alliance practices in Frederick, MD. The NPI Number for Potomac Healthcare Alliance is 1164775979 and holds a License No. 10554640 (Maryland).

The current practice location address for Potomac Healthcare Alliance is 198 Thomas Johnson Dr Ste 5, Frederick, MD and can be reached out via phone at 301-624-5390.

Location: 198 Thomas Johnson Dr Ste 5, Frederick, MD, 21702-4449
institution
Provider Profile Details
NPI Number
1164775979
Provider Name
Potomac Healthcare Alliance
Credential
Provider Entity Type
Organization
Address
198 Thomas Johnson Dr Ste 5, Frederick, MD, 21702-4449
Phone Number
301-624-5390
Fax Number
Provider Enumeration Date
10/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215171863 01 MD NPI
1720248198 01 MD NPI
1477595916 01 MD NPI
institution
Provider Business Practice Location Address Details
Address
198 Thomas Johnson Dr Ste 5
City
State
Zip
21702-4449
Phone Number
301-624-5390
Fax Number
person
Provider Business Mailing Address Details
Address
198 Thomas Johnson Dr Ste 5
City
State
Zip
21702-4449
Phone Number
301-624-5390
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
License No.
10554640 (Maryland)
Definition
Definition to come...
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