Kenneth D Polivy in Newton - Orthopaedic Surgery
Kenneth D Polivy - NPI 1194794115
Kenneth D Polivy is a Orthopaedic Surgery in Newton, Massachusetts. Kenneth D Polivy practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Kenneth D Polivy is 1194794115. The last update date is 2011-11-01.
Kenneth D Polivy's current location address is 2000 Washington St, Newton, Massachusetts. You can contact this provider via phone number 6179640024 and fax number 6179646374. The mailing address for Kenneth D Polivy is 2000 Washington St, Newton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth D Polivy |
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Address | 2000 Washington St, Newton, Massachusetts |
Phone Number | 6179640024 |
Fax Number | 6179646374 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1194794115 |
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Provider Enumeration Date | 2006-03-14 |
Last Updated Date | 2011-11-01 |
Provider Mailing Address Detail
Address | 2000 Washington St |
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City | Newton |
State | Massachusetts (MA) |
Post Code | 24621650 |
Phone Number | 6179640024 |
Fax Number | 6179646374 |
Provider's Primary Taxonomy Detail
Speciality | Orthopaedic Surgery |
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Taxonomy | 207X00000X |
Licence No | 47345 |
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6183484 | MA | -- | |
17266 | MA | HARVARD PILGRIM | |
47345 | MA | TUFTS | |
J03453 | MA | BCBS |
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What is the unique 10-digit identifier code issued to Kenneth D Polivy by the Centers for Medicare & Medicaid Services?
The Kenneth D Polivy has been assigned the NPI (National Provider Identifier) 1194794115 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kenneth D Polivy's physical address?
The Kenneth D Polivy is physically located at 2000 Washington St, in the city of Newton, MA, with the postal code 24621650.
What is Kenneth D Polivy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth D Polivy's area of specialization is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207X00000X.
On what date did the Kenneth D Polivy receive its 1194794115 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth D Polivy was assigned its 1194794115 by the Centers for Medicare & Medicaid Services on 2006-03-14.
As of what date was the information regarding Kenneth D Polivy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth D Polivy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-01.