Individual
DR. STACY E POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
151 WORCESTER RD, BARRE, MA 01005-9002
(978) 355-6321
Mailing address
PO BOX 415348, BOSTON, MA 02241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204106
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136735
—
MA
Enumeration date
11/27/2005
Last updated
12/01/2020
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