DR. CHARLES POLAK M.D. NPI 1003974767

NPI Information

NPI: 1003974767
Provider Name: DR. CHARLES POLAK, M.D.
Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Individual
Address:
328 W SAINT GEORGES AVE
LINDEN, NJ
ZIP 07036
Phone: (908) 925-7519
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DR. Charles Polak, M.D. is a medical genetics phd medical genetics in Linden, NJ. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. DR. Charles Polak, M.D. NPI is 1003974767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

328 W SAINT GEORGES AVE
LINDEN, NJ
ZIP 07036-638
Phone: (908) 925-7519
Fax: (908) 925-2842

The enumeration date for this NPI number is 12/5/2006 and was last updated on 3/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	170100000X	Medical Genetics, Ph.D. Medical Genetics		25MA03464300	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C08389	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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