Andrea Helen Polesky
Internist Infectious Disease
751 S Bascom Ave Tb Clinic
San Jose
, California 95128-2604
Andrea Helen Polesky
Internist Infectious Disease
751 S Bascom Ave Tb Clinic
San Jose
, California 95128-2604
(408) 885-5000
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About
Features
Specialties
- Internist
- Infectious Disease
Languages spoken
- English
Location
First Address
- Andrea Helen Polesky
- 751 S Bascom Ave
- San Jose, CA
- Zip : 95128-3702
- Phone : (408) 885-5000
Second Address
- Andrea Helen Polesky
- 751 S Bascom Ave Tb Clinic
- San Jose, CA
- Zip : 95128-2604
- Phone : (408) 792-5586
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | G81333 | CA |
| N | 111NI0900X | Internist | G81333 | CA |
| Y | 207RI0200X | Infectious Disease | G81333 | CA |
National Provider Identifier
| NPI | 1063517365 |
|---|---|
| Provider Name | Andrea Helen Polesky |
| First Address | San Jose, CA 95128-3702 |
| Second Address | San Jose, CA 95128-2604 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2006 |
| Last Update Date | 27/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G813330 | (05) | CA |
| F81541 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.