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Individual
DR. SAMUEL ARON POTTASH
Active
Individual
DR. SAMUEL ARON POTTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000685
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0570700001
MEDICARE DME
—
05
—
371408001
—
MD
01
—
521640693
CHAMPUS
—
Enumeration date
09/29/2006
Last updated
01/09/2012
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