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Individual
DR. BRANDON SCOTT POTERJOY
Active
Individual
DR. BRANDON SCOTT POTERJOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS012499
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MB10436200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156086
—
NJ
Enumeration date
05/17/2006
Last updated
04/15/2019
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