Organization
COMPREHENSIVE CARE MULTI-SPECIALTY PHYSICIAN ORGANIZATION PC
Active
Organization
COMPREHENSIVE CARE MULTI-SPECIALTY PHYSICIAN ORGANIZATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA R POLAM MD (PHYSICIAN)
(724) 933-5570
Entity
Organization
Contact information
Practice address
6400 BROOKTREE COURT., SUITE. 320, WEXFORD, PA 15090
(724) 933-5570
(724) 933-5585
Mailing address
6400 BROOKTREE CT STE 320, WEXFORD, PA 15090-9271
(724) 933-5570
(724) 933-5585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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