Doctor Name: | DR. ARI T POLLACK |
NPI Number: | 1427374305 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1305 Post Rd Lower Level Fairfield, CT - 068246016 |
Business Phone Number: | 2032922000 |
Business Fax Number: | 2032555212 |
Mailing Address: | 226 Mill Hill Ave, 3rd Floor BRIDGEPORT |
State: | CT |
Postal Code: | 066102826 |
Phone Number: | 2032922000 |
Fax Number: | 2032555212 |
NPI Enumeration Date: | 04/16/2010 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |