Individual
ROGER POTTANAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 LIBBEY INDUSTRIAL PKWY, 2ND FLOOR, WEYMOUTH, MA 02189-3101
(781) 551-0999
(781) 551-3396
Mailing address
169 LIBBEY INDUSTRIAL PKWY, 2ND FLOOR, WEYMOUTH, MA 02189-3101
(781) 551-0999
(781) 551-3396
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
245867
MA
2084P0804X
Child & Adolescent Psychiatry Physician
245867
MA
Other
Enumeration date
06/18/2010
Last updated
04/05/2012
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