Individual
DR. ROSE CRYSTAL POLATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 BROAD ROCK BLVD, 161, RICHMOND, VA 23249-0001
(804) 675-5756
(804) 675-5319
Mailing address
403 LAKEWOOD DR, RICHMOND, VA 23229-6839
(804) 285-7422
(804) 675-5319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101030189
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101030189
VA
Other
Enumeration date
05/26/2006
Last updated
09/29/2008
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