Individual
ALEXANDER POLYAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 N 17TH ST STE 300, ALLENTOWN, PA 18104-5052
(610) 969-3500
(610) 969-3605
Mailing address
805 OAK ST, DELAVAN, WI 53115-1238
(224) 616-4305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT025024
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
03/23/2026
Last updated
06/09/2026
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