<Unavail>

LBN: Primary Care Associates Of Potomac Pc
<Unavail> is an health care organization with primary practice located at 1900 Opitz Blvd Suite F, Woodbridge VA 22191. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Primary Care Associates Of Potomac Pc can be contacted via phone (703) 490-3997, or through Wynn, Alan H via phone (703) 490-3997.

Contact Information

Primary practice address
1900 Opitz Blvd Suite F Woodbridge VA 22191
Phone: (703) 490-3997
Fax: (703) 491-3376
Website:
Map and Directions
Authorized official contact:
Name: Wynn, Alan H Doctor of Medicine (MD)
Phone: (703) 490-3997

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101040884 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101239629 Virginia

Profile Details

NPI number 1013914951
LBN Legal business name Primary Care Associates Of Potomac Pc
DBA Doing business as <Unavail>
Authorized official Wynn, Alan H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated May 5th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013914951 NPPES
Virginia MEDICAID 006064043

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