Individual
JOSE POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 JENSEN LN, UNION, NJ 07083-7925
(973) 725-4078
Mailing address
8 JENSEN LN, UNION, NJ 07083-7925
(973) 725-4078
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01012600
NJ
Other
Enumeration date
11/04/2019
Last updated
12/21/2023
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