Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC001687L | PA |
NPI | 1740276211 |
---|---|
Provider Name | Dr. William Zachary Polsky |
First Address | New Britain, PA 18901-5182 |
Second Address | New Britain, PA 18901-5182 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 02/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T28327 | (02) |