| NPI | 1508245069 |
|---|---|
| Former Legal Business Name | POTOMAC HEALTH AND WELLNESS, LLC |
| Doing Business As | PHW SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMJAD MALIK VP 703-740-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2025-01-16 |