| Harold A Polan Do Pa | |
|
152 Wolf St Philadelphia PA 19148 | |
| (215) 465-5607 | |
| (215) 465-6830 |
| Full Name | Harold A Polan Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 152 Wolf St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Harold A Polan (OWNER) |
| Authorized Official Contact | 2154655607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold A Polan Do Pa 152 Wolf St Philadelphia PA 19148 Ph: (215) 465-5607 | Harold A Polan Do Pa 152 Wolf St Philadelphia PA 19148 Ph: (215) 465-5607 |
| NPI Number | 1275635484 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 10/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275635484 | NPI | - | NPPES |
| 000603883 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OSOOO671L (Pennsylvania) | Primary |
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