Individual
THEODORE J POLYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111
(617) 636-5000
(781) 407-0998
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
138170
MA
Other
Enumeration date
01/03/2006
Last updated
06/25/2019
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