MEDICARE: MR. JOSEPH A. POLLAK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MA42852	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952335309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH A. POLLAK MD

Provider Business Mailing Address
First Line	:	323 WASHINGTON ST
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-4829
Country	:	US
Telephone Number	:	201-795-9909
Fax Number	:	201-795-9919

Provider Business Practice Location Address
First Line	:	323 WASHINGTON ST
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-4829
Country	:	US
Telephone Number	:	201-795-9909
Fax Number	:	201-795-9919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	06/13/2008

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