Kenneth D Polivy, M.D.

NPI #1194794115 in Newton, Massachusetts

Provider Information

NPI Number: 1194794115
Entity Type: Individual
Name: Kenneth D Polivy, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: M.D.
Enumeration Date: Mar 14, 2006
Last Updated: Nov 1, 2011

Practice Location

Address: 2000 WASHINGTON ST
Address 2: SUITE 341
City: Newton
State: Massachusetts
ZIP Code: 02462-1650
Phone: (617) 964-0024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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