Dr Daniel D Poliakoff, MD | |
10084 Reisterstown Rd Ste 200b, Owings Mills, MD 21117-4096 | |
(410) 526-7993 | |
(410) 526-5144 |
Full Name | Dr Daniel D Poliakoff |
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Gender | Male |
Speciality | Pediatrics |
Location | 10084 Reisterstown Rd Ste 200b, Owings Mills, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023405883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D0084662 (Maryland) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Lifebridge Community Pediatrics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629495528 PECOS PAC ID: 6901023167 Enrollment ID: O20140812000403 |
Mailing Address | Practice Location Address |
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Dr Daniel D Poliakoff, MD 10084 Reisterstown Rd, Ste 200b, Owings Mills, MD 21117-4096 Ph: (410) 526-7993 | Dr Daniel D Poliakoff, MD 10084 Reisterstown Rd Ste 200b, Owings Mills, MD 21117-4096 Ph: (410) 526-7993 |
Bethany Brown, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9 Park Center Ct Ste 150, Owings Mills, MD 21117 Phone: 410-902-7710 Fax: 410-902-4410 | |
Dr. Armand Joseph Pulcinella, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Crossroads Drive, #205, Owings Mills, MD 21117 Phone: 410-581-2345 Fax: 410-581-5837 | |
Teresa Fuller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10084 Reisterstown Rd Ste 200b, Owings Mills, MD 21117 Phone: 410-526-7993 Fax: 410-526-5144 | |
Daniel Jay Levy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10085 Red Run Blvd, Suite 201, Owings Mills, MD 21117 Phone: 410-363-1843 Fax: 410-363-3027 | |
Anna W Reed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10085 Red Run Blvd, Suite 201, Owings Mills, MD 21117 Phone: 410-363-1843 Fax: 410-363-3027 | |
Dr. Mark Lewis Melzer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9199 Reisterstown Rd, Suite 100b, Owings Mills, MD 21117 Phone: 410-363-2002 Fax: 410-363-8977 |