Organization
ELLEN G. POLOKOFF MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN POLOKOFF (PHYSICIAN OWNER)
(203) 262-2300
Entity
Organization
Contact information
Practice address
900 MAIN ST S, SOUTHBURY, CT 06488-4237
(203) 262-2300
Mailing address
900 MAIN ST S, SOUTHBURY, CT 06488-4237
(203) 262-2300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
035653
CT
Other
Enumeration date
07/06/2007
Last updated
10/29/2007
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