Polesky, Andrea Helen

Polesky, Andrea Helen is an individual health care provider with primary practice located at 751 S Bascom Ave Tb Clinic, San Jose CA 95128-2604. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Polesky, Andrea Helen can be contacted via phone (408) 792-5586.

Contact Information

Primary practice address
751 S Bascom Ave Tb Clinic San Jose CA 95128-2604
Phone: (408) 792-5586
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G81333 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G81333 California

Profile Details

NPI number 1063517365
LBN Legal business name Polesky, Andrea Helen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Oct 27th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063517365 NPPES
California MEDICAID 00G813330

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