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Individual

AMY POLONSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
900 CATON AVE, BALTIMORE, MD 21229-5201
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 827426, PHILADELPHIA, PA 19182-7426
(904) 805-1300
(904) 805-1302

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D55323
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60609101
BLUE CROSS
MD
05
933001101
MD
Enumeration date
06/04/2006
Last updated
06/01/2010
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