Individual
DR. MARK J POLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 MONTAUK CIR, PORT MATILDA, PA 16870-7314
(814) 867-3953
Mailing address
240 MONTAUK CIR, PORT MATILDA, PA 16870-7314
(814) 867-3953
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD028607E
PA
Other
Enumeration date
08/17/2006
Last updated
09/17/2012
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