Individual
GEORGE RICHARD POLKINGHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 MEDICAL CENTER DR, SUITE 1300, BRUNSWICK, ME 04011-2690
(207) 729-1148
(207) 729-2789
Mailing address
PO BOX 911, BRATTLEBORO, VT 05302-0911
(207) 885-7601
(207) 885-7610
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
14286
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335540099
—
ME
01
—
830006189
RAILROAD MEDICARE
ME
Enumeration date
02/09/2006
Last updated
08/12/2010
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