Andrew K Pollack
Dermatologist
501 Office Center Dr Suite 195
Ft Washington
, Pennsylvania 19034-3220
Andrew K Pollack
Dermatologist
501 Office Center Dr Suite 195
Ft Washington
, Pennsylvania 19034-3220
(407) 650-3455
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Andrew K Pollack
- 151 Southhall Ln Ste 300
- Maitland, FL
- Zip : 32751-7172
- Fax : (407) 650-3455
- Phone : (407) 875-2080
Second Address
- Andrew K Pollack
- 501 Office Center Dr Suite 195
- Ft Washington, PA
- Zip : 19034-3220
- Fax : (215) 836-7923
- Phone : (215) 836-7900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD022348E | PA |
National Provider Identifier
| NPI | 1063416006 |
|---|---|
| Provider Name | Andrew K Pollack |
| First Address | Maitland, FL 32751-7172 |
| Second Address | Ft Washington, PA 19034-3220 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2005 |
| Last Update Date | 14/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0004913 | AETNA (01) | PA |
| 0057083000 | KEYSTONE HP EAST (01) | PA |
| C29807 | (02) | |
| C29807 | (05) | PA |
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.