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Individual

JOSEPH R. POLINO JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2101
(413) 582-2949
Mailing address
291 MOODY ST, LUDLOW, MA 01056-1246
(800) 688-6663
(413) 589-7554

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
220682
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000028269
BMC
MA
05
2078708
MA
01
3572396
AETNA
MA
01
469274
TUFTS
MA
01
6333619
CIGNA
MA
01
AA14325
HARVARD PILGRIM
MA
01
J27703
BCBS MA
MA
Enumeration date
03/31/2006
Last updated
07/08/2007
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