| Jeffry Potash Md Pc | |
|
63 Belmont Avenue Suite 2 Brattleboro VT 05301 | |
| (802) 254-4947 | |
| (802) 257-1454 |
| Full Name | Jeffry Potash Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 63 Belmont Avenue, Brattleboro, Vermont |
| Authorized Official Name and Position | Jeffry Brian Potash (PRESIDENT) |
| Authorized Official Contact | 8022544947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffry Potash Md Pc 63 Belmont Avenue Suite 2 Brattleboro VT 05301 Ph: (802) 254-4947 | Jeffry Potash Md Pc 63 Belmont Avenue Suite 2 Brattleboro VT 05301 Ph: (802) 254-4947 |
| NPI Number | 1689863227 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/19/2007 |
| Medicare PECOS PAC ID | 1052329984 |
|---|---|
| Medicare Enrollment ID | O20060404000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689863227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0420009254 (Vermont) | Primary |
| Provider Name | Jeffry B Potash |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568404697 PECOS PAC ID: 2163336744 Enrollment ID: I20031118000314 |
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