Dr. Charles Polak
Medical Geneticist
328 W Saint Georges Ave
Linden
, New Jersey 07036-5638
Dr. Charles Polak
Medical Geneticist
328 W Saint Georges Ave
Linden
, New Jersey 07036-5638
(908) 925-2842
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Dr. Charles Polak
- 328 W Saint Georges Ave
- Linden, NJ
- Zip : 07036-5638
- Fax : (908) 925-2842
- Phone : (908) 925-7519
Second Address
- Dr. Charles Polak
- 328 W Saint Georges Ave
- Linden, NJ
- Zip : 07036-5638
- Fax : (908) 925-2842
- Phone : (908) 925-7519
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | 25MA03464300 | NJ |
National Provider Identifier
| NPI | 1003974767 |
|---|---|
| Provider Name | Dr. Charles Polak |
| First Address | Linden, NJ 07036-5638 |
| Second Address | Linden, NJ 07036-5638 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2006 |
| Last Update Date | 25/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C08389 | (02) | NJ |
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.