| Potomac Pediatrics, P.c. | |
|
2296 Opitz Blvd Suite 510 Woodbridge VA 22191-3300 | |
| (703) 730-5437 | |
| (703) 730-5443 |
| Full Name | Potomac Pediatrics, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2296 Opitz Blvd, Woodbridge, Virginia |
| Authorized Official Name and Position | Leonard Lee Touchette (PRESIDENT) |
| Authorized Official Contact | 7037305437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Pediatrics, P.c. 2296 Opitz Blvd Suite 510 Woodbridge VA 22191-3300 Ph: (703) 730-5437 | Potomac Pediatrics, P.c. 2296 Opitz Blvd Suite 510 Woodbridge VA 22191-3300 Ph: (703) 730-5437 |
| NPI Number | 1003051897 |
|---|---|
| Provider Enumeration Date | 12/08/2008 |
| Last Update Date | 12/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003051897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 07L06196 (Virginia) | Primary |
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