Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 25MA06492500 | NJ |
NPI | 1003920216 |
---|---|
Provider Name | Sarah Kelley Potash |
First Address | Morristown, NJ 07962-1368 |
Second Address | Cedar Knolls, NJ 07927-2000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 11/07/2019 |