Individual
MARK R POLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7320
(757) 668-9735
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101050212
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000980903
—
DE
05
—
0017337390001
—
PA
05
—
005713668
—
VA
05
—
690567T
—
NC
05
—
732002700
—
MD
05
—
9840896000
—
WV
Enumeration date
06/07/2006
Last updated
01/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us