MEDICARE: DR. STEVEN J POLLACK

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
1	111N00000X	Chiropractor	38MC00226400	NJ

General Provider Information

NPI Number	:	1497729065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN J POLLACK

Provider Business Mailing Address
First Line	:	137 ATLANTIC CITY BLVD
Second Line	:	STE. 1
City	:	BEACHWOOD
State	:	NJ
Zip	:	08722-2935
Country	:	US
Telephone Number	:	732-244-0222
Fax Number	:	732-244-0450

Provider Business Practice Location Address
First Line	:	137 ATLANTIC CITY BLVD
Second Line	:	STE. 1
City	:	BEACHWOOD
State	:	NJ
Zip	:	08722-2935
Country	:	US
Telephone Number	:	732-244-0222
Fax Number	:	732-244-0450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	12/06/2007

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