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Individual

NICHOLE M POLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4135
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4135

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
236035
NY
207RC0000X
Cardiovascular Disease Physician
Primary
MD.205713
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05733746
MS
05
2313371
LA
Enumeration date
06/14/2006
Last updated
12/04/2012
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