Doctor Name: | DR. CARTER A. POTTASH |
NPI Number: | 1598839110 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 034456 |
Business Practice Address: | 339 Royal Poinciana Plaza Suite G Palm Beach, FL - 33480 |
Business Phone Number: | 5618372215 |
Business Fax Number: | |
Mailing Address: | Po Box 381, PALM BEACH |
State: | FL |
Postal Code: | 334800381 |
Phone Number: | 5618372215 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 04/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 034456 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |