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Individual
JAMES R POLIQUIN
Active
Individual
JAMES R POLIQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101033088
VA
2086S0129X
Vascular Surgery Physician
0101033088
VA
2086S0129X
Vascular Surgery Physician
Primary
42475
KY
208C00000X
Colon & Rectal Surgery Physician
0101033088
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020044164
RAILROAD MEDICARE
—
01
—
0582455
AETNA HMO
—
01
—
071140
ANTHEM
—
01
—
1458520
CIGNA
—
01
—
15802
OPTIMA MEDICAID
VA
01
—
213383
ALLIANCE/MDIPA/MAMSI
—
01
—
285008
SOUTHERN HEALTH
—
01
—
4357943
AETNA PPO/MC
—
05
—
7100175390
—
KY
Enumeration date
05/19/2006
Last updated
04/12/2012
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