Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | D0046401 | MD |
N | 207PE0004X | Emergency Medical Services | D0046401 | MD |
N | 207PP0204X | Pediatric Emergency Physician | D0046401 | MD |
N | 207X00000X | Orthopaedic Surgeon | D0046401 | MD |
N | 207XS0106X | Orthopaedic Hand Surgeon | D0046401 | MD |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D0046401 | MD |
N | 207XS0117X | Orthopaedic Spine Surgeon | D0046401 | MD |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | D0046401 | MD |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D0046401 | MD |
Y | 207XX0801X | Orthopaedic Trauma Surgeon | D0046401 | MD |
NPI | 1457394942 |
---|---|
Provider Name | Dr. Andrew Pollak |
First Address | Baltimore, MD 21264-4881 |
Second Address | Baltimore, MD 21201-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 22/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1457394942 | NPI (01) | MD |
334721400 | (05) | MD |
F67536 | (02) | MD |