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Contact Information

JASON POTHAST, MD
18109 PRINCE PHILIP DR
SUITE 155
OLNEY, MD20832-1519
 Phone: 301-570-7415
 Fax: 301-570-7416
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JASON POTHAST · (Male)

NPI Number 1508003971
Status Active
Credentials MD
Entity Individual
Enumeration date 01/07/2009
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0078451
  • NJ Medicaid 0308871
  • PA Medicaid 102738394
Hospital affiliation(s)
  • MEDSTAR GOOD SAMARITAN HOSPITAL - (Acute Care)
    5601 LOCH RAVEN BOULEVARD
    BALTIMORE, MD 21239
  • MEDSTAR UNION MEMORIAL HOSPITAL - (Acute Care)
    201 EAST UNIVERSITY PARKWAY
    BALTIMORE, MD 21218
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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