| Edward S Polashenski Do Pc | |
|
128 West 14th St Hazleton PA 18201-3266 | |
| (570) 455-7677 | |
| (570) 455-7627 |
| Full Name | Edward S Polashenski Do Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 128 West 14th St, Hazleton, Pennsylvania |
| Authorized Official Name and Position | Edward S Polashenski (PRESIDENT) |
| Authorized Official Contact | 5704557677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward S Polashenski Do Pc 128 W 14th St Hazleton PA 18201-3266 Ph: (570) 455-7677 | Edward S Polashenski Do Pc 128 West 14th St Hazleton PA 18201-3266 Ph: (570) 455-7677 |
| NPI Number | 1871635458 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871635458 | NPI | - | NPPES |
| 182462 | Other | PA | BLUE SHIELD |
| 0010850580001 | Medicaid | PA | |
| 122500 | Other | PA | BLUE SHIELD |
| 0010140830002 | Medicaid | PA |
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