Dr. Marc N Potenza, MD PhD
Psychiatry & Neurology, Psychiatry in Middletown, CT. Individual provider (NPI-1).
NPI number1598887218
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1598887218
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marc N Potenza
- Credential
- MD PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 035340 | CT | Yes |
Practice location
2 Vance DriveConnecticut Valley Hospital Problem Gambling Services R
Middletown, CT 06457
Phone 860-344-2244 · Fax 860-344-2360
Mailing address
Po Box 3512 Vance Drive Connecticut Valley Hospital Problem Gambl
Middletown, CT 06457
Phone 860-344-2244 · Fax 860-344-2360
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