Individual
DR. ANDREW JAMES POLYAK
Active
Individual
DR. ANDREW JAMES POLYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1026432
MA
207R00000X
Internal Medicine Physician
25MA12277400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026432
MEDICAL LICENSE
MA
01
—
25MA12277400
MEDICAL LICENSE
NJ
Enumeration date
03/26/2020
Last updated
06/29/2026
Update your record
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