Individual
AMANDA POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MHS
Contact information
Practice address
1625 STRAITS TPKE STE 307, MIDDLEBURY, CT 06762-1836
(203) 758-8995
Mailing address
68 GROVE RD, NORTH HAVEN, CT 06473-2420
(203) 314-4514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4411
CT
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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