Individual
ANDREW W POTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
780 MAIN ST, GT BARRINGTON, MA 01230-2180
(413) 528-2418
(413) 528-2907
Mailing address
780 MAIN ST, STE 1, GT BARRINGTON, MA 01230-2180
(413) 528-2418
(413) 528-2907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58640
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020989
BMC HEALTHNET
MA
01
—
110224982
PALMETTO GBA - RAILROAD MEDICARE
—
05
—
3057763
—
MA
Enumeration date
09/28/2006
Last updated
10/06/2014
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