| Polonsky-ragovin Pc | |
|
185 Newton St Weston MA 02493-2338 | |
| (617) 566-7508 | |
| Not Available |
| Full Name | Polonsky-ragovin Pc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 185 Newton St, Weston, Massachusetts |
| Authorized Official Name and Position | Derek C Polonsky (PRESIDENT) |
| Authorized Official Contact | 6175667508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polonsky-ragovin Pc 185 Newton St Weston MA 02493-2338 Ph: (617) 566-7508 | Polonsky-ragovin Pc 185 Newton St Weston MA 02493-2338 Ph: (617) 566-7508 |
| NPI Number | 1831329523 |
|---|---|
| Provider Enumeration Date | 07/16/2009 |
| Last Update Date | 07/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831329523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 37465 (Massachusetts) | Primary |
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