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Individual

LAURA E. POLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
123 SUMMER ST, SAINT VINCENT HOSPITAL, EMERGENCY DEPARTMENT, WORCESTER, MA 01608-1216
(508) 363-6090
Mailing address
123 SUMMER ST, SAINT VINCENT HOSPITAL, EMERGENCY DEPARTMENT, WORCESTER, MA 01608-1216
(508) 363-6090

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
243309
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110085362A
MA
Enumeration date
04/30/2008
Last updated
11/30/2020
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