Provider Demographics
NPI:1376607804
Name:POTASHKIN, BARBARA A (MS MASTERS IN DIETET)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:POTASHKIN
Suffix:
Gender:F
Credentials:MS MASTERS IN DIETET
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2253 SOUTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-4688
Mailing Address - Country:US
Mailing Address - Phone:908-789-5300
Mailing Address - Fax:908-789-5535
Practice Address - Street 1:2253 SOUTH AVENUE
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-4688
Practice Address - Country:US
Practice Address - Phone:908-789-5300
Practice Address - Fax:908-789-5535
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist