Individual
DR. SAMUEL ARON POTTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
219 W BEL AIR AVE, ABERDEEN, MD 21001
(410) 272-1334
Mailing address
6702 CHOKEBERRY RD, BALTIMORE, MD 21209-1404
(410) 272-1334
(410) 272-8984
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000685
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0570700001
MEDICARE DME
—
05
—
371408001
—
MD
01
—
521640693
CHAMPUS
—
Enumeration date
09/29/2006
Last updated
01/09/2012
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