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General NPI Number Information
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NPI Number | 1760437727
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Entity Type | Individual
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Provider Name | JACEK M. POLSKI MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 2451 UNIVERSITY HOSPITAL DR FL 1
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City | MOBILE
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State | AL
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Zip | 36617-2300
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Country | US
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Telephone | 251-471-7790
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Fax | 251-471-7096
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Provider Business Mailing Address
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Address Line | PO BOX 40480
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City | MOBILE
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State | AL
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Zip | 36640-0480
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Country | US
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Telephone | 251-434-3626
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Fax | 251-445-2464
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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 | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | 23440
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License Number State | AL
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