Individual
DR. ROBERT D POLISHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
563 HEATH RD, MERION STATION, PA 19066-1422
(610) 667-5435
(610) 667-1177
Mailing address
563 HEATH RD, MERION STATION, PA 19066-1422
(610) 667-1177
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-010201-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114502KKB
PIN
PA
01
—
MD010201-E
LICENSE NO.
PA
Enumeration date
12/13/2006
Last updated
09/14/2023
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