Scott Edward Potenta MD, PHD

NPI 1073808101 - Internal Medicine - 207R00000X

NPI Details
NPI 1073808101
Gender Male
Enumeration Date 06/16/2011
Last Updated 06/16/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
55 FRUIT ST
MGH DEPARTMENT OF RADIOLOGY
BOSTON MA, 02114-2621, US
Phone (617) 726-2000
Fax
Business Location
55 FRUIT ST
MGH DEPARTMENT OF RADIOLOGY
BOSTON MA, 02114-2621, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 248020
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According to our database, Dr. Scott Edward Potenta MD, PHD NPI is 1073808101, taxonomy code is 207R00000X and license number is 248020, license state is located at Massachusetts. Scott Edward Potenta MD, PHD physically located at 55 Fruit St, Boston MA, 02114-2621. NPI Number Scott Edward Potenta MD, PHD has the Individual type.

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1073808101 NPI number is provided on an as is basis without warranty of any kind. 1073808101 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Edward Potenta MD, PHD are for informational purposes only.