| Organization Name: | JEFFREY S. POLLACK, MD., P.A. |
| NPI Number: | 1497047831 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY STUART POLLACK (PRESIDENT) |
| Mailing Address: | 6044 Harding Hwy Mays Landing |
| State: | NJ US |
| Postal Code: | 083301549 |
| Phone Number: | 6096259146 |
| Fax Number: | 6096257405 |
| NPI Enumeration Date: | 05/04/2011 |
| NPI Last Update Date: | 05/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MA44557 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |