Healthcare Provider Details

I. General information

NPI: 1023003233
Provider Name (Legal Business Name): STUART N POLLACK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 OSTRUM ST
BETHLEHEM PA
18015-1000
US

IV. Provider business mailing address

PO BOX 130
JAMISON PA
18929-0130
US

V. Phone/Fax

Practice location:
  • Phone: 215-918-0060
  • Fax: 215-918-0063
Mailing address:
  • Phone: 215-918-0060
  • Fax: 215-918-0063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD054086L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD054086L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: