Healthcare Provider Details

I. General information

NPI: 1932225067
Provider Name (Legal Business Name): WILLIAM Z POLSKY DC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 TOWN CTR
NEW BRITAIN PA
18901-5182
US

IV. Provider business mailing address

904 TOWN CTR
NEW BRITAIN PA
18901-5182
US

V. Phone/Fax

Practice location:
  • Phone: 215-340-2797
  • Fax: 215-340-2231
Mailing address:
  • Phone: 215-340-2797
  • Fax: 215-340-2231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberDC001687L
License Number StatePA

VIII. Authorized Official

Name: WILLIAM ZACHARY POLSKY
Title or Position: PRESIDENT
Credential: DC
Phone: 215-340-2797