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Individual

ELEANOR POLLAK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104
(215) 662-6503
Mailing address
3624 MARKET STREET, STE 560W UPHS OFFICE OF MEDICAL AFFAIRS, PHILADELPHIA, PA 19104
(215) 662-2286

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD062132L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016553830002
PA
Enumeration date
06/15/2006
Last updated
07/08/2007
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