Individual
DR. GARY I POLYKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 340 ANESTHESIA PAIN MANAGEMENT, BOSTON, MA 02114-3117
(617) 726-3512
(617) 726-3519
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
81894
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
81894
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081894
TUFTS HEALTH PLAN
MA
05
—
3186733
—
MA
01
—
J19417
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
09/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us