Individual
MRS. MELISSA J POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
67 BELMONT ST, WORCESTER, WORCESTER, MA 01605-2657
(508) 334-0545
(508) 334-6515
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1835
MA
Other
Enumeration date
02/21/2006
Last updated
11/09/2020
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