Individual
CHARLES V POLLACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 WILDE RUN CT, ROSWELL, GA 30075-7163
(610) 329-2986
(888) 959-8345
Mailing address
PO BOX 308, ROSWELL, GA 30077-0308
(610) 329-2986
(888) 959-8345
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD072992L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018330190001
—
PA
05
—
8435502
—
NJ
Enumeration date
06/17/2006
Last updated
11/06/2020
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