Individual
DR. PAUL POLYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD432748
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0287512
—
NJ
05
—
102144281
—
PA
Enumeration date
11/13/2007
Last updated
04/23/2012
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