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Individual

DR. NOHA POLACK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3196 KENNEDY BLVD, THIRD FLOOR, UNION CITY, NJ 07087-2436
(201) 319-9800
(201) 319-9849
Mailing address
3196 KENNEDY BLVD, THIRD FLOOR, UNION CITY, NJ 07087-2436
(201) 319-9800
(201) 319-9849

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA63880
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1086830
HORIZON NJ HEATHCARE
NJ
01
1771005
CIGNA HEALTHCARE
NJ
01
1K0951N
HEALTHNET OF NORTHEAST
NJ
01
2602850
GHI
NY
01
559531
559531
NY
01
J6791
HORIZON BCBSNJ
NJ
01
P1237291
OXFORD HEALTHCARE
NJ
Enumeration date
03/03/2006
Last updated
07/08/2007
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