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General NPI Number Information
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NPI Number | 1447487269
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Entity Type | Individual
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Provider Name | RACHEL ANN POLISH DO
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Gender | Female
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 2700 CLEMENS RD FL 2
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City | HATFIELD
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State | PA
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Zip | 19440-4202
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Country | US
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Telephone | 215-607-7256
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Fax | 215-258-8999
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Provider Business Mailing Address
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Address Line | 210 YORKTOWN PLZ
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City | ELKINS PARK
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State | PA
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Zip | 19027-1424
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Country | US
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Telephone | 215-600-4590
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS015455
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License Number State | PA
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