Individual
DEREK C POLONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1180 BEACON ST, SUITE 4C, BROOKLINE, MA 02446-3885
(617) 566-7508
Mailing address
185 NEWTON ST, WESTON, MA 02493-2338
(617) 566-7508
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37465
MA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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