Individual
DR. GENE P OTTO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1570 CORNWALL RD, LEBANON, PA 17042-7403
(717) 273-4681
(717) 273-0946
Mailing address
1570 CORNWALL RD, LEBANON, PA 17042-7403
(717) 273-4681
(717) 273-0946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD020344E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007158610003
—
PA
Enumeration date
07/26/2006
Last updated
07/08/2007
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