| Potomac Internal Medicine And Pediatrics,llc. | |
|
201 Centennial St Unit C-1 La Plata MD 20646-5967 | |
| (301) 934-9711 | |
| (301) 934-3998 |
| Full Name | Potomac Internal Medicine And Pediatrics,llc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Centennial St, La Plata, Maryland |
| Authorized Official Name and Position | James Harring (MEDICAL DOCTOR) |
| Authorized Official Contact | 3019349711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Internal Medicine And Pediatrics,llc. Po Box 1734 La Plata MD 20646-1734 Ph: (301) 934-9711 | Potomac Internal Medicine And Pediatrics,llc. 201 Centennial St Unit C-1 La Plata MD 20646-5967 Ph: (301) 934-9711 |
| NPI Number | 1275651168 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 03/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275651168 | NPI | - | NPPES |
| 185403800 | Medicaid | MD | |
| DC2304 | Other | MD | RAILROAD MEDICARE |
| J0240001 | Other | MD | BCBS DC |
| KFL5PO | Other | MD | BCBS OF MARYLAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0052919 (Maryland) | Primary |
| 208000000X | Pediatrics | D0052919 (Maryland) | Secondary |
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