| Organization Name: | POTOMAC PEDIATRICS, P.C. |
| NPI Number: | 1003051897 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEONARD LEE TOUCHETTE (PRESIDENT) |
| Mailing Address: | 2296 Opitz Blvd Suite 510 Woodbridge |
| State: | VA US |
| Postal Code: | 221913300 |
| Phone Number: | 7037305437 |
| Fax Number: | 7037305443 |
| NPI Enumeration Date: | 12/08/2008 |
| NPI Last Update Date: | 12/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 07L06196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |