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Individual

JAMES BENNETT POTASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
39665
IA
2084P0800X
Psychiatry Physician
Primary
D46460
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220102000
MD
Enumeration date
06/12/2006
Last updated
10/20/2017
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