Gary I Polykoff MD

NPI 1063402352 - Physical Medicine & Rehabilitation - 2081P2900X

NPI Details
NPI 1063402352
Gender Male
Enumeration Date 10/27/2005
Last Updated 09/22/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
15 PARKMAN ST
WAC 340 ANESTHESIA PAIN MANAGEMENT
BOSTON MA, 02114-3117, US
Phone (617) 726-3512
Fax (617) 726-3519
Business Location
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN MA, 02129-9142, US
Phone (617) 724-0287
Fax (617) 726-2894
Toxanomy
Taxonomy Code 2081P2900X
License State Massachusetts
License Number 81894
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According to our database, Dr. Gary I Polykoff MD NPI is 1063402352, taxonomy code is 2081P2900X and license number is 81894, license state is located at Massachusetts. Gary I Polykoff MD physically located at 15 Parkman St, Boston MA, 02114-3117. NPI Number Gary I Polykoff MD has the Individual type.

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1063402352 NPI number is provided on an as is basis without warranty of any kind. 1063402352 is maintained by the National Plan & Provider Enumeration System. The contents of Gary I Polykoff MD are for informational purposes only.