Individual
PHYLLIS POLLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 OAK AVE, WORCESTER, MA 01605-2752
(508) 757-7300
(800) 757-0803
Mailing address
340 MAIN ST, SUITE 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 438-6368
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
51006
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209885
—
MA
Enumeration date
10/25/2005
Last updated
12/05/2011
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