Individual provider · Type 1 NPI
Samuel J. Potolicchio Jr., MD
Neurological Surgery Physician · Bethesda, MD
Practice location
4940 Hampden Ln Ste 300
Bethesda, MD 20814-2968
Fax (301) 246-8628
Mailing address
5214 Albemarle St
Bethesda, MD 20816-1829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0101052485 (VA) |
| Neurology Physician | 2084N0400X | 0101052485 (VA) |
| Neurological Surgery Physician Primary | 207T00000X | D0042536 (MD) |
Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…
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About NPI 1114993367
Samuel J. Potolicchio Jr., MD's National Provider Identifier is 1114993367, issued on Feb 27, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Bethesda, MD. The record was last updated on Feb 14, 2024.