Individual
EUGENE L POTESTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7227 GLENWOOD AVE, YOUNGSTOWN, OH 44512-4853
(330) 629-2144
(330) 629-2140
Mailing address
7227 GLENWOOD AVE, YOUNGSTOWN, OH 44512-4853
(330) 629-2144
(330) 629-2140
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.059991
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127501
ANTHEM PIN
OH
01
—
000000127501
UNICARE
—
01
—
0756534
BCMH
—
05
—
0756534
—
OH
01
—
10-0016
UHC PIN
OH
01
—
1507349
GATEWAY
—
01
—
170476
UNISON
—
01
—
1751176006
CIGNA
OH
01
—
177763
KEYSTONE HEALTH PLAN
—
01
—
341112079029
CARESOURCE
—
01
—
Z59991
SUMMACARE
—
Enumeration date
10/04/2006
Last updated
08/21/2007
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