Whalio Doctors

NPI 1114993367

Samuel J Potolicchio, MD

Practitioner Neurological Surgery Physician Bethesda, MD

Practice location

Address
4940 Hampden Ln STE 300, Bethesda, MD 20814-2968
Phone
(301) 652-7155
Fax
(301) 246-8628
Mailing address
5214 Albemarle St, Bethesda, MD 20816-1829

Registered specialties (3)

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence D0042536 (MD)
Neurological Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 0101052485 (VA)
Neurology Physician
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 0101052485 (VA)

Registry record

NPI
1114993367
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Feb 2006
Record last updated
14 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.