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Contact Information

EDGER V POTTER JR MD INC
12017 FORT WASHINGTON RD
FORT WASHINGTON, MD20744-6004
 Phone: 301-203-9570
 Fax: 301-203-1796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EDGER V POTTER JR MD INC

NPI Number 1376735100
LBN Legal business name EDGER V POTTER JR MD INC
Authorized official EDGER POTTER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2007
Last updated 09/16/2011 - About 15 years ago
Identifiers
DC License # MD9565
DC Medicaid 023634400
MD Medicaid 260891000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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