Potulski, Frederick

Potulski, Frederick is an individual health care provider with primary practice located at 2640 Hwy 70 Bld 6A, Manasquan NJ 08736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Potulski, Frederick can be contacted via phone (732) 528-5900.

Contact Information

Primary practice address
2640 Hwy 70 Bld 6A Manasquan NJ 08736
Fax: (732) 528-0887
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MA40445 New Jersey

Profile Details

NPI number 1659373439
LBN Legal business name Potulski, Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Sep 18th, 2007 - about 18 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 1659373439 NPPES
New Jersey MEDICAID 1788507

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