Dr. Samuel J Potolicchio JR.
Neurosurgeon
4910 Massachusetts Ave Nw 114
Washington
, District of Columbia 20016-4300
Dr. Samuel J Potolicchio JR.
Neurosurgeon
4910 Massachusetts Ave Nw 114
Washington
, District of Columbia 20016-4300
(202) 803-5666
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Samuel J Potolicchio JR.
- 5214 Albemarle St
- Bethesda, MD
- Zip : 20816-1829
- Fax : (202) 803-5666
- Phone : (202) 803-5716
Second Address
- Dr. Samuel J Potolicchio JR.
- 4910 Massachusetts Ave Nw 114
- Washington, DC
- Zip : 20016-4300
- Fax : (202) 803-5666
- Phone : (202) 803-5716
Reviews
FAQs
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Is Dr. Samuel J Potolicchio JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207T00000X | Neurosurgeon | 0101052485 | VA |
| N | 207T00000X | Neurosurgeon | D0042536 | MD |
| Y | 207T00000X | Neurosurgeon | MD12390 | DC |
National Provider Identifier
| NPI | 1114993367 |
|---|---|
| Provider Name | Dr. Samuel J Potolicchio JR. |
| First Address | Bethesda, MD 20816-1829 |
| Second Address | Washington, DC 20016-4300 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2006 |
| Last Update Date | 23/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C88624 | (02) | |
| O36590 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.