Individual
DR. JERROLD S POLANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1656 WILLOW ST, SAN DIEGO, CA 92106-2127
(415) 577-0750
(619) 222-1868
Mailing address
1656 WILLOW ST, SAN DIEGO, CA 92106-2127
(415) 577-0750
(619) 222-1868
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A44535
CA
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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