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Individual
JEFFREY ROBERT POLGAR
Active
Individual
JEFFREY ROBERT POLGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200300681
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135V9
BCBS NC
NC
01
—
2031967A
MEDICARE PIN
NC
05
—
89135V9
—
NC
01
—
P00370104
RAILROAD MEDICARE PTAN
—
Enumeration date
02/22/2006
Last updated
01/15/2020
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