Individual
DR. OCTAVIUS DOUGLAS POLK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 NATIONAL HARBOR BLVD, 5TH FLOOR, OXON HILL, MD 20745
(301) 618-2273
Mailing address
12800 LIBERTYS DELIGHT DR UNIT 104, BOWIE, MD 20720-6347
(240) 476-9795
(202) 526-5434
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
12239
DC
207RP1001X
Pulmonary Disease Physician
Primary
D31941
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011651200
—
DC
Enumeration date
08/11/2006
Last updated
10/14/2020
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