| Crystabel Polanco, MD | |
|
63 Central Ave, Passaic, NJ 07055-8406 | |
| (973) 574-8688 | |
| Not Available |
| Full Name | Crystabel Polanco |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 9 Years |
| Location | 63 Central Ave, Passaic, New Jersey |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922529296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25MA10855800 (New Jersey) | Primary |
| Entity Name | St Josephs Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystabel Polanco, MD 1 Pauline Dr, Nutley, NJ 07110-3123 Ph: (862) 621-5883 | Crystabel Polanco, MD 63 Central Ave, Passaic, NJ 07055-8406 Ph: (973) 574-8688 |
Dr. James Brief, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 298 Passaic St, Passaic, NJ 07055 Phone: 973-249-8100 |
Dr. Holanda P Bravo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 913 Main Ave, Passaic, NJ 07055 Phone: 973-458-8000 Fax: 973-458-8425 |
Dr. Maria Josefina Sharma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 63 Central Avenue, Passaic, NJ 07055 Phone: 973-574-8688 |
Ms. Ennid Xiomara Gonzalez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 913 Main Ave, Passaic, NJ 07055 Phone: 973-458-8000 |
Dr. Raul Almanzar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 913 Main Ave, Passaic, NJ 07055 Phone: 973-458-8000 Fax: 973-458-8427 |
William Castilla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 293 Passaic Street, Passaic, NJ 07055 Phone: 973-365-1377 Fax: 973-365-1229 |
Dr. Yocasta Fernandez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 287 Monroe St, 2nd Floor, Passaic, NJ 07055 Phone: 973-574-8688 Fax: 973-249-8799 |