Organization
HAROLD A POLAN DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD A POLAN DO (OWNER)
(215) 465-5607
Entity
Organization
Contact information
Practice address
152 WOLF ST, PHILADELPHIA, PA 19148
(215) 465-5607
(215) 465-6830
Mailing address
152 WOLF ST, PHILADELPHIA, PA 19148
(215) 465-5607
(215) 465-6830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OSOOO671L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000603883
—
PA
Enumeration date
09/01/2006
Last updated
10/18/2010
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