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Individual

DR. MARC N POTENZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
2 VANCE DRIVE, CONNECTICUT VALLEY HOSPITAL PROBLEM GAMBLING SERVICES R, MIDDLETOWN, CT 06457
(860) 344-2244
(860) 344-2360
Mailing address
PO BOX 351, 2 VANCE DRIVE CONNECTICUT VALLEY HOSPITAL PROBLEM GAMBL, MIDDLETOWN, CT 06457
(860) 344-2244
(860) 344-2360

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
035340
CT

Other

Enumeration date
04/04/2007
Last updated
07/08/2007
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