Individual
MR. JEFFREY M POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FRCSC
Contact information
Practice address
55 FRUIT STREET, YAWKEY 3C, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 724-2823
Mailing address
75 FRANCIS ST., BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115
(617) 732-8063
(617) 264-5234
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
266105
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
06/22/2016
Last updated
10/18/2016
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