Individual
WOJCIECH POLUHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 LINCOLN ST, WORCESTER, MA 01605-2401
(508) 799-9000
(508) 453-3107
Mailing address
107 LINCOLN ST, WORCESTER, MA 01605-2401
(508) 799-9000
(508) 453-3107
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MP0462933A
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176303
—
MA
Enumeration date
12/29/2005
Last updated
12/10/2009
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