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Individual

DR. ROGER DAVID POLISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO, SUITE 502, BAYAMON, PR 00961-7041
(787) 778-0632
(787) 778-3720
Mailing address
66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO, SUITE 502, BAYAMON, PR 00961-7041
(787) 778-0632
(787) 778-3720

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101055566
VA
207RG0100X
Gastroenterology Physician
Primary
15803
PR

Other

Enumeration date
01/10/2006
Last updated
07/29/2008
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