Michael John Polisin, M.D.
NPI #1871620112 in Summit, New Jersey
Provider Information
- NPI Number
- 1871620112
- Entity Type
- Individual
- Name
- Michael John Polisin, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Credential
- M.D.
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 47 MAPLE ST
- Address 2
- SUITE 107
- City
- Summit
- State
- New Jersey
- ZIP Code
- 07901-2571
- Phone
- (908) 273-5866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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