Individual
JACEK M. POLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2451 UNIVERSITY HOSPITAL DR FL 1, MOBILE, AL 36617-2300
(251) 471-7790
(251) 471-7096
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
23440
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122325
—
MS
05
—
009932340
—
AL
05
—
009932350
—
AL
01
—
11-00206
UNITED HEALTH CARE
AL
05
—
1430480
—
LA
05
—
260555400
—
FL
01
—
51097767
BLUE CROSS
AL
01
—
51097771
BLUE CROSS
AL
Enumeration date
05/24/2006
Last updated
03/03/2021
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