Individual
DR. JOANNA POLUHA-O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 765-9771
(508) 909-7709
Mailing address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 765-9771
(508) 909-7709
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
159144
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018489
—
MA
Enumeration date
12/01/2005
Last updated
12/03/2020
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