Organization
POLLACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA A POLLACK (OWNER)
(860) 749-5881
Entity
Organization
Contact information
Practice address
1699 KING ST, SUITE 208, ENFIELD, CT 06082-6051
(860) 749-5881
(860) 776-2420
Mailing address
1699 KING STREET, SUITE 208, ENFIELD, CT 06082-4585
(860) 749-5881
(860) 776-2420
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
041022
CT
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
041022
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001410224
—
CT
Enumeration date
02/07/2008
Last updated
07/17/2015
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