Individual
DR. WAYNE M POLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
136 N WASHINGTON AVENUE, 103, BERGENFIELD, NJ 07621
(201) 387-2800
(201) 387-2248
Mailing address
136 N WASHINGTON AVENUE, 103, BERGENFIELD, NJ 07621
(201) 387-2800
(201) 387-2248
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00208200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023792
GHI
NJ
01
—
350055367
RAILROAD MEDICARE
NJ
Enumeration date
12/09/2005
Last updated
02/04/2009
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