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Individual

MR. DONALD B POLANSKY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MSW LCSW

Contact information

Practice address
300 PLAZA MIDDLESEX, 3RD FLOOR, MIDDLETOWN, CT 06457
(860) 347-9911
(860) 347-8120
Mailing address
300 PLAZA MIDDLESEX, 3RD FLOOR, MIDDLETOWN, CT 06457
(860) 347-9911
(860) 347-8120

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000812
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1048463
CIGNA
01
108472
VALUE OPTIONS
01
140000812CT04
BCBS
CT
01
158001
MHN
01
4223081
AETNA
CT
01
989960
UBH
01
P1001751
OXFORD
Enumeration date
06/24/2006
Last updated
07/08/2007
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