Individual
GEOFFREY M POLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 S CLEVELAND AVE, WESTERVILLE, OH 43081-8971
(740) 323-0272
(740) 323-1375
Mailing address
PO BOX 73118, CLEVELAND, OH 44193-0002
(800) 655-2656
(412) 822-7411
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35074804P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000291153
ANTHEM BCBS
OH
05
—
2135353
—
OH
Enumeration date
05/03/2006
Last updated
11/13/2008
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