| Doctor Name: | DR. BRIAN S POLESUK |
| NPI Number: | 1053309773 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD067885L |
| Business Practice Address: | 595 W State St Doylestown, PA - 189012554 |
| Business Phone Number: | 2153452290 |
| Business Fax Number: | 2153452596 |
| Mailing Address: | Po Box 892, CONCORDVILLE |
| State: | PA |
| Postal Code: | 193310892 |
| Phone Number: | 6103724957 |
| Fax Number: | 6103723117 |
| NPI Enumeration Date: | 10/06/2005 |
| NPI Last Update Date: | 06/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | MD067885L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |