NPI 1063402352

Gary I Polykoff, MD

Practitioner Physical Medicine & Rehabilitation Physician Boston, MA

Practice location

Address: 15 Parkman St Wac 340 Anesthesia Pain Management, Boston, MA 02114-3117
Phone: (617) 726-3512
Fax: (617) 726-3519
Mailing address: PO Box 9142 Mass General Physician Organization, Charlestown, MA 02129-9142

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 81894 (MA)

Other Physical Medicine & Rehabilitation providers in Massachusetts →

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence 81894 (MA)

Registry record

NPI: 1063402352
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2005
Record last updated: 22 Sep 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.