Individual
JEFF POLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 263-8248
(330) 263-8190
Mailing address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 263-8248
(330) 263-8190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35046789
OH
208M00000X
Hospitalist Physician
Primary
35046789
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000378938
ANTHEM
OH
05
—
0471565
—
OH
01
—
4226124
AETNA
OH
01
—
732195
BUCKEYE COMMUNITY HEALTH
OH
Enumeration date
06/13/2006
Last updated
01/12/2015
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