Individual
JEFFREY S POLLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH SOUTH PAVILION, 2ND FLOOR, NEW HAVEN, CT 06510-3220
(203) 785-7026
(203) 737-1077
Mailing address
20 YORK ST, YNHH SOUTH PAVILION, 2ND FLOOR, NEW HAVEN, CT 06510-3220
(203) 785-7026
(203) 737-1077
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
029999
CT
2085R0204X
Vascular & Interventional Radiology Physician
029999
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001299991
—
CT
Enumeration date
11/22/2005
Last updated
03/21/2011
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