Individual
MANUEL CACERES POLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-3946
Mailing address
3500 N BROAD ST # 1A, PHILADELPHIA, PA 19140-4106
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD443939
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.096163
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD443939
PA
208M00000X
Hospitalist Physician
35.096163
OH
Other
Enumeration date
07/17/2006
Last updated
08/12/2025
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