Organization
IRA POLLACK MD PC
Active
Organization
IRA POLLACK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA POLLACK MD (OWNER)
(860) 749-5881
Entity
Organization
Contact information
Practice address
1699 KING STREET, SUITE 208, ENFIELD, CT 06082
(860) 749-5881
(860) 776-2420
Mailing address
1699 KING STREET, SUITE 208, ENFIELD, CT 06082
(860) 749-5881
(860) 776-2420
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
217519
MA
2084N0400X
Neurology Physician
Primary
041022
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001410224
—
CT
Enumeration date
03/26/2010
Last updated
07/31/2012
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