# PAMELA S POTASH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659483139
- **Gender:** F
- **Credential:** D. O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0S009893L | PA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001807654 | — | PA |
| 05 | — | 0018076540001 | — | PA |
| 01 | — | 50051245 | CAPITAL BLUE | — |
| 01 | — | 624163 | BLUE SHIELD | — |
| 01 | — | 7053141 | USH/HMO | — |
| 01 | — | P002389 | GATEWAY | — |
| 01 | — | P00262035 | RAILROAD MEDICARE | — |