Gary I Polykoff is a Pain Medicine in Boston, Massachusetts. Gary I Polykoff practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Gary I Polykoff is 1063402352. The last update date is 2011-09-22.
Gary I Polykoff's current location address is 15 Parkman St, Boston, Massachusetts. You can contact this provider via phone number 6177263512 and fax number 6177263519. The mailing address for Gary I Polykoff is 15 Parkman St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary I Polykoff |
|---|---|
| Address | 15 Parkman St, Boston, Massachusetts |
| Phone Number | 6177263512 |
| Fax Number | 6177263519 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063402352 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2011-09-22 |
Provider Mailing Address Detail
| Address | 15 Parkman St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21143117 |
| Phone Number | 6177263512 |
| Fax Number | 6177263519 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 2081P2900X |
| Licence No | 81894 |
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Definition: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3186733 | MA | -- | |
| J19417 | MA | BCBS MA | |
| 81894 | MA | TUFTS HEALTH PLAN |
Post Comment/ Review Below
What is the unique identifier code issued to Gary I Polykoff by the Centers for Medicare & Medicaid Services (CMS)?
The Gary I Polykoff has been assigned the NPI (National Provider Identifier) 1063402352. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Gary I Polykoff?
The Gary I Polykoff is situated at 15 Parkman St, in the city of Boston, state of MA, with the zip code 21143117.
What is Gary I Polykoff's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary I Polykoff's specialized field of practice is Pain Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2081P2900X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063402352 to Gary I Polykoff?
The Centers for Medicare & Medicaid Services assigned the 1063402352 to Gary I Polykoff on 2005-10-27.
When was the information regarding Gary I Polykoff most recently updated?
The details pertaining to the Gary I Polykoff, including its address, specialty, and other relevant information, were last refreshed on 2011-09-22.
NPI Number: 1891797999
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