Individual
DR. GUIDO DANIEL POLLEVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5 SCIENCE PARK, NEW HAVEN, CT 06511-1966
(203) 786-3575
(413) 235-6182
Mailing address
5 SCIENCE PARK, NEW HAVEN, CT 06511-1966
(203) 786-3575
(413) 235-6182
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
POLLG1
NEW YORK STATE DEPARTMENT OF HEALTH
NY
Enumeration date
09/28/2010
Last updated
09/28/2010
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