Individual
ALAN POTYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13 INDUSTRIAL PARK RD, SACO, ME 04072-1804
(207) 283-8800
(207) 286-9853
Mailing address
9 HEALTHCARE DRIVE, SUITE 201, BIDDEFORD, ME 04005-3747
(207) 282-9080
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011887
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017201
ANTHEM
ME
01
—
2033427
AETNA
ME
05
—
304830099
—
ME
01
—
610004701
CIGNA
ME
01
—
B86303
HARVARD PILGRIM
ME
Enumeration date
04/19/2006
Last updated
01/25/2011
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