Individual
DR. ELLIOT S POLLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
133 HARTFORD AVE, EAST GRANBY, CT 06026-9519
(860) 653-4708
(860) 653-6249
Mailing address
133 HARTFORD AVE, EAST GRANBY, CT 06026-9519
(860) 653-4708
(860) 653-6249
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000144
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0610129323
TAX ID
CT
01
—
0869800001
MEDICARE DME
CT
01
—
0869800002
MEDICARE DME
CT
Enumeration date
06/30/2006
Last updated
01/11/2008
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