Individual
MARTIN RUSSELL POLLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, DE 1, BOSTON, MA 02215-5400
(617) 632-9880
Mailing address
330 BROOKLINE AVE, RN 304, BOSTON, MA 02215-5400
(617) 632-9880
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
74736
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3144721
—
MA
05
—
A2935402
—
MA
Enumeration date
08/04/2006
Last updated
09/29/2011
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