Individual
ANDREW K POLLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 OFFICE CENTER DR, SUITE 195, FT WASHINGTON, PA 19034-3220
(215) 836-7900
(215) 836-7923
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD022348E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004913
AETNA
PA
01
—
0057083000
KEYSTONE HP EAST
PA
05
—
C29807
—
PA
Enumeration date
06/08/2005
Last updated
03/14/2017
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