Whalio Doctors

NPI 1003974767

Charles Polak, MD

Practitioner Ph.D. Medical Genetics Linden, NJ

Practice location

Address
328 W Saint Georges Ave, Linden, NJ 07036-5638
Phone
(908) 925-7519
Fax
(908) 925-2842

Registered specialties

Ph.D. Medical Genetics Primary
Other Service Providers Taxonomy 170100000X Licence 25MA03464300 (NJ)

Registry record

NPI
1003974767
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Dec 2006
Record last updated
25 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.