Potenza, Anthony R
Potenza, Anthony R is an individual health care provider with primary practice located at 38 Hamlet Ave , Woonsocket RI 02895-4423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Potenza, Anthony R can be contacted via phone (401) 762-0020.Contact Information
Primary practice address
38 Hamlet Ave
Woonsocket RI 02895-4423
Phone: (401) 762-0020
Fax: (401) 762-1819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD04445 | Rhode Island |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | MD04445 | Rhode Island |
Profile Details
| NPI number | 1780687400 |
|---|---|
| LBN Legal business name | Potenza, Anthony R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Sep 28th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780687400 | NPPES |
| Massachusetts | MEDICAID | 3122409 | |
| Massachusetts | Other | 37750 | |
| Massachusetts | Other | MD04445 | |
| Massachusetts | MEDICAID | 7000164 |
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