Individual
MICHAEL W POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 SUMMER ST, SUITE 210, WORCESTER, MA 01608-1312
(508) 368-3190
(508) 368-3985
Mailing address
5 NEPONSET ST FL CENTER12, WORCESTER, MA 01606-2714
(508) 368-3190
(508) 368-3985
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
160784
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04 2472266
PRIVATE HEALTHCARE SYST.
—
01
—
2023718
CIGNA HEALTH PLAN
—
01
—
2230931
FIRST HEALTH
—
01
—
3208125
MEDICAID WELFARE
—
05
—
3208125
—
MA
01
—
419312
TUFTS HEALTH PLAN
—
01
—
60679
FALLON COMMUNITY HEALTH
—
01
—
70438
CHILDRENS MEDICAL
—
01
—
784068
MVP HEALTH CARE
—
01
—
784069
MVP HEALTH CARE
—
01
—
7985198
AETNA US HEALTHCARE
—
01
—
A37468
MEDICARE B
—
01
—
AA16160
HARVARD PILGRIM HEALTH
—
01
—
J22264
BLUE CARE ELECT
—
Enumeration date
12/19/2005
Last updated
05/21/2024
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