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Contact Information

SAMUEL A POTTASH, DPM
219 W BEL AIR AVE
ABERDEEN, MD21001
 Phone: 410-272-1334
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SAMUEL A POTTASH · (Male)

NPI # 1952493769
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/29/2006
Last updated 01/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 000685
  • MD Medicaid 371408001
  • Other 521640693 CHAMPUS
  • Other 0570700001 MEDICARE DME
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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