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Individual

HARRISON ADAM POTAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5501 OLD YORK RD BLDG 4TH, PHILADELPHIA, PA 19141-3018
(215) 456-7900
(215) 456-3428
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-7000
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD485866
PA

Other

Enumeration date
04/02/2018
Last updated
01/02/2025
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