Physician Compare National (NPI:1154411122)

HEALTHCARE PROVIDER: ANDREW POTASH I DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154411122
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214167584
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140424001301
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	POTASH
	Individual professional last name
Provider First Name	ANDREW
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	811 WASHINGTON RD
	Group Practice or individual's line 1 address
City	PARLIN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	088591078
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7322381890
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y