Individual
MICHAEL JOHN POLISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 MAPLE ST, SUITE 107, SUMMIT, NJ 07901-2571
(908) 273-5866
(908) 273-5811
Mailing address
47 MAPLE ST, SUITE 107, SUMMIT, NJ 07901-2571
(908) 273-5866
(908) 273-5811
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA49436
NJ
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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