MEDICARE: HARRY STEVEN POLSKY M.D.

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	2086S0129X	Vascular Surgery Physician	MD012653E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558316711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY STEVEN POLSKY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8500-8735
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-8735
Country	:	US
Telephone Number	:	215-456-7000
Fax Number	:	215-254-2599

Provider Business Practice Location Address
First Line	:	609 W GERMANTOWN PIKE
Second Line	:	SUITE 270
City	:	EAST NORRITON
State	:	PA
Zip	:	19403-4243
Country	:	US
Telephone Number	:	484-622-7100
Fax Number	:	484-622-7121

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	12/04/2012

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