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NPI Code Detail

MEDICARE: CHRISTOPHER L POLEN MD

MEDICARE:   CHRISTOPHER L POLEN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician35071019OH
2207RC0200XCritical Care Medicine (Internal Medicine) Physician20695WV
3207RC0200XCritical Care Medicine (Internal Medicine) Physician2007-00565NC

Other Identifiers

General Provider Information

NPI Number : 1225087760
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER L POLEN MD
Provider Business Mailing Address
First Line : 2240 REMOUNT RD
Second Line :
City : GASTONIA
State : NC
Zip : 28054-4725
Country : US
Telephone Number : 704-671-5311
Fax Number : 704-671-5308
Provider Business Practice Location Address
First Line : 2240 REMOUNT RD
Second Line :
City : GASTONIA
State : NC
Zip : 28054-4725
Country : US
Telephone Number : 704-671-5311
Fax Number : 704-671-5308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 08/04/2022

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Directions to “ CHRISTOPHER L POLEN MD” Practice Location

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