Individual
DR. POLINA TRACHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 LYONS AVE STE L4, NEWARK, NJ 07112-2027
(973) 926-7852
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7300
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA12252500
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
290519
NY
207RI0200X
Infectious Disease Physician
25MA12252500
NJ
207RI0200X
Infectious Disease Physician
290519
NY
Other
Enumeration date
04/22/2014
Last updated
08/30/2024
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