Individual
MICHAEL BRUCE POLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BOULDERS PKWY STE 101, NORTH CHESTERFIELD, VA 23225-5515
(804) 320-4243
(804) 622-0552
Mailing address
1000 BOULDERS PKWY, SUITE 102, RICHMOND, VA 23225-5545
(804) 320-4243
(804) 282-1486
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101241502
VA
207RP1001X
Pulmonary Disease Physician
0101241502
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
0101241502
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0685804
CIGNA
VA
01
—
1493245
AETNA HMO
VA
05
—
1992816706
—
VA
01
—
296430
ANTHEM
VA
01
—
632061
SOUTHERN HEALTH
VA
01
—
72774
SOUTHERN HEALTH CARENET
VA
01
—
7928840
AETNA NON-HMO
VA
Enumeration date
08/31/2006
Last updated
05/20/2021
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