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1083322135
POTOMAC HEALTH OF WISCONSIN PC
STAMFORD, CT
NPI
1083322135
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Entity Type
Organization
Authorized Contact
JAY A KIMMEL
Chief Medical Officer
860-728-6740
Organization Subpart ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
POTOMAC HEALTH OF WISCONSIN PC
1177 HIGH RIDGE RD
STAMFORD, CT 06905-1221
Phone number: 201-834-4786
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Mailing Address
POTOMAC HEALTH OF WISCONSIN PC
1177 HIGH RIDGE RD
STAMFORD, CT 06905-1221
Phone number:
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