Michael John Polisin
M.D. | Pediatric Adolescent Medicine | Male
Michael John Polisin, M.D. is a Summit, New Jersey based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Michael John Polisin is
47 Maple St, Suite 107, Summit, New Jersey - 07901-2571. He can be contacted on phone at
908-273-5866 and fax number 908-273-5811.
Michael John Polisin is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael John Polisin is
1871620112 which was assigned by NPPES on 27 Feb, 2007 and it was last updated on 08 Jul, 2007.
Michael John Polisin license number is
MA49436 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Michael John Polisin specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Michael John Polisin basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Michael John Polisin |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Michael John Polisin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 47 Maple St, Suite 107
Summit, NJ, 07901-2571
United States |
|---|
| Phone Number : | 908-273-5866 |
|---|
| Fax Number : | 908-273-5811 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871620112 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 27 Feb, 2007 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael John Polisin are as mentioned. Primary taxonomy code for Michael John Polisin, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MA49436 | NJ |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 47 Maple St, Suite 107
Summit, NJ, 07901-2571
United States |
|---|
| Phone Number : | 908-273-5866 |
|---|
| Fax Number : | 908-273-5811 |
|---|
Business Location:
Patients can refer following map for directions to
Michael John Polisin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.