Individual
ELLEN POLOKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 MAIN ST S, BLDG 2, SUITE 101, SOUTHBURY, CT 06488-4237
(203) 262-2300
(203) 262-2305
Mailing address
900 MAIN ST S, BLDG 2, SUITE 101, SOUTHBURY, CT 06488-4237
(203) 262-2300
(203) 262-2305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
035653
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001356535
—
CT
Enumeration date
07/17/2006
Last updated
10/28/2021
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