Polanco, Jose Roman
Polanco, Jose Roman is an individual health care provider with primary practice located at 31 Roche Bros Way , North Easton MA 02356-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Polanco, Jose Roman can be contacted via phone (508) 894-8730.Contact Information
Primary practice address
31 Roche Bros Way
North Easton MA 02356-1032
Phone: (508) 894-8730
Fax: (508) 894-8732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD10514 | Rhode Island |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 273647 | Massachusetts |
Profile Details
| NPI number | 1609850411 |
|---|---|
| LBN Legal business name | Polanco, Jose Roman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jun 25th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609850411 | NPPES |
| Massachusetts | Other | S400453494 | MEDICARE |
| Massachusetts | MEDICAID | 110131381A | MEDICARE |
| Massachusetts | MEDICAID | 7009048 | MEDICARE |
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