| Doctor Name: | SANDRA ALCIRA MITRE POLIN |
| NPI Number: | 1043208127 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD034285 |
| Business Practice Address: | 3800 Reservoir Rd Nw Washington, DC - 200072113 |
| Business Phone Number: | 2024443734 |
| Business Fax Number: | |
| Mailing Address: | Po Box 631856, BALTIMORE |
| State: | MD |
| Postal Code: | 212631856 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2005 |
| NPI Last Update Date: | 09/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | MD034285 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |