Healthcare Provider Details

I. General information

NPI: 1821206293
Provider Name (Legal Business Name): CHRISTINE D. POLCARI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE D. GRIFFIN M.D.

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 04/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 WASHINGTON STREET
NORWELL MA
02061-9147
US

IV. Provider business mailing address

75 WASHINGTON STREET
NORWELL MA
02061-9147
US

V. Phone/Fax

Practice location:
  • Phone: 781-878-5200
  • Fax: 781-878-6750
Mailing address:
  • Phone: 781-878-5200
  • Fax: 781-878-6750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number231131
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: