Provider Demographics
NPI:1538298021
Name:POTASH, ARTHUR E (DPM)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:E
Last Name:POTASH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:RYDAL
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1232
Mailing Address - Country:US
Mailing Address - Phone:215-728-1788
Mailing Address - Fax:
Practice Address - Street 1:7710 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3808
Practice Address - Country:US
Practice Address - Phone:215-728-1788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001660-L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA071484OtherHIGHMARK BC BS
PAT28157Medicare UPIN
PA071484Medicare ID - Type Unspecified