Organization
POLONSKY-RAGOVIN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK C POLONSKY MD (PRESIDENT)
(617) 566-7508
Entity
Organization
Contact information
Practice address
185 NEWTON ST, WESTON, MA 02493-2338
(617) 566-7508
Mailing address
185 NEWTON ST, WESTON, MA 02493-2338
(617) 566-7508
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
37465
MA
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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