Individual
EVELYN MARY POTOCHNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
500 UNIVERSITY DR, MC A410, HERSHEY, PA 17033-2360
(717) 531-8615
(717) 531-3803
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
OS020238
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
032-0000549
VT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
OS020238
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
OT014955
PA
Other
Enumeration date
10/23/2006
Last updated
11/08/2019
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