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Individual
PAMELA S POTASH
Active
Individual
PAMELA S POTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0S009893L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001807654
—
PA
05
—
0018076540001
—
PA
01
—
50051245
CAPITAL BLUE
—
01
—
624163
BLUE SHIELD
—
01
—
7053141
AETNA
—
01
—
P002389
GATEWAY
—
01
—
P00262035
RAILROAD MEDICARE
—
Enumeration date
08/31/2006
Last updated
03/16/2021
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