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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780687400 NPPES
Massachusetts MEDICAID 3122409
Massachusetts Other 37750
Massachusetts Other MD04445
Massachusetts MEDICAID 7000164

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