Individual
JOHN DAMIAN POTOCHNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD05224L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386397
HIGHMARK B S
PA
Enumeration date
05/15/2006
Last updated
08/20/2014
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