Potolicchio, Samuel J
Potolicchio, Samuel J is an sole proprietor health care provider with primary practice located at 4940 Hampden Ln Ste 300 , Bethesda MD 20814-2968. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Potolicchio, Samuel J can be contacted via phone (301) 652-7155.Contact Information
Primary practice address
4940 Hampden Ln Ste 300
Bethesda MD 20814-2968
Phone: (301) 652-7155
Fax: (301) 246-8628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 0101052485 | Virginia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0101052485 | Virginia |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | D0042536 | Maryland |
Profile Details
| NPI number | 1114993367 |
|---|---|
| LBN Legal business name | Potolicchio, Samuel J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Feb 14th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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