Individual
MARC L. POLLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2607 RHAWN ST, PHILADELPHIA, PA 19152-3038
(215) 333-0304
(215) 333-1402
Mailing address
2607 RHAWN ST, PHILADELPHIA, PA 19152-3038
(215) 333-0304
(215) 333-1402
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD029972E
PA
207R00000X
Internal Medicine Physician
MD029972E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001106630
—
PA
01
—
0069266000
AMERIHEALTH 65 PA-YH
PA
01
—
100999
GEISINGER-YH
PA
01
—
1141116
AMERIHEALTH MERCY-YH
PA
01
—
1537586
GATEWAY-YH
PA
01
—
480458
HIGHMARK BLUE SHIELD-YH
PA
01
—
50067237
CAPITAL BLUE CROSS-YH
PA
Enumeration date
06/30/2006
Last updated
07/08/2019
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