MEDICARE: PHILIP POLLICE

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	207Y00000X	Otolaryngology Physician	MD061605L	PA

General Provider Information

NPI Number	:	1922071406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP POLLICE

Provider Business Mailing Address
First Line	:	9800 MCKNIGHT RD
Second Line	:	SUITE 130
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	UPMC PASSAVANT PROFESSIONAL BLDG
Second Line	:	9104 BABCOCK BLVD., SUITE 3112
City	:	PITTSBURGH
State	:	PA
Zip	:	15237
Country	:	US
Telephone Number	:	412-366-3889
Fax Number	:

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	04/08/2021

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Directions to “ PHILIP POLLICE ” Practice Location

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