Individual
JOANNY POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-4918
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5817
(617) 732-4918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
03/04/2025
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