Individual
DR. FREDERICK POTULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2640 HWY 70, BLD 6A, MANASQUAN, NJ 08736
(732) 528-5900
(732) 528-0887
Mailing address
2640 HWY 70, BLD 6A, MANASQUAN, NJ 08736
(732) 528-5900
(732) 528-0887
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA40445
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1788507
—
NJ
Enumeration date
08/11/2005
Last updated
09/18/2007
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