Individual
REGINA POLITIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D., F.A.A.P.
Contact information
Practice address
3526 KENNEDY BLVD, JERSEY CITY, NJ 07307-3448
(201) 653-5933
(201) 653-3930
Mailing address
3526 KENNEDY BLVD, JERSEY CITY, NJ 07307-3448
(201) 653-5933
(201) 653-3930
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA67516
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7979304
—
NJ
Enumeration date
09/09/2005
Last updated
07/08/2007
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