Individual
DR. DAVID R POLONET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4810 BELMAR BLVD, NEPTUNE, NJ 07753-6952
(732) 938-6090
(732) 938-5680
Mailing address
2 WORLDS FAIR DR, SOMERSET, NJ 08873-1369
(732) 504-3649
(732) 564-9032
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA07961100
NJ
207XX0801X
Orthopaedic Trauma Physician
25MA07961100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11864427
CAQH
NJ
Enumeration date
11/22/2005
Last updated
06/14/2020
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