Individual
DR. MARK POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
366 MASSACHUSETTS AVE, SUITE 103, ARLINGTON, MA 02474-6733
(781) 648-8500
(781) 648-7171
Mailing address
366 MASSACHUSETTS AVE, SUITE 103, ARLINGTON, MA 02474-6733
(781) 648-8500
(781) 648-7171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
921
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0781742
AETNA
MA
01
—
275461
HEALTH SOURCE
MA
01
—
37821
CIGNA
MA
01
—
4404373
UNITED HEALTHCARE
MA
01
—
715211
TUFTS
MA
01
—
Y35709
BCBS
MA
01
—
Y39404
BCBS
MA
Enumeration date
01/13/2007
Last updated
01/04/2008
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