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Organization
PAUL V POLISHUK MD INC
Active
Organization
PAUL V POLISHUK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL V POLISHUK MD (PRESIDENT)
(760) 743-5111
Entity
Organization
Contact information
Practice address
215 S HICKORY ST, SUITE 114, ESCONDIDO, CA 92025-4359
(760) 743-5111
(760) 743-8511
Mailing address
PO BOX 461870, ESCONDIDO, CA 92046-1870
(760) 743-5111
(760) 743-8511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G84309
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G843090
—
CA
Enumeration date
04/10/2007
Last updated
03/12/2008
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