Individual
DR. DANIEL MICHAEL POLVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
43 MULBERRY LN, TINTON FALLS, NJ 07724-2813
(732) 977-1102
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10742700
NJ
Other
Enumeration date
05/09/2018
Last updated
10/01/2020
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