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Individual

DR. GREGORY EUGENE POLITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8135 PAINTER AVE, SUITE 304, WHITTIER, CA 90602-3102
(562) 907-7600
(562) 907-7602
Mailing address
8135 PAINTER AVE, SUITE 304, WHITTIER, CA 90602-3102
(562) 907-7600
(562) 907-7602

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G23699
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G23699
CA
01
340002887
RAILROAD MEDICARE
CA
01
EA844Z
MEDICARE PTAN
CA
Enumeration date
11/09/2006
Last updated
04/15/2013
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