Polesuk, Brian S

Polesuk, Brian S is an individual health care provider with primary practice located at 595 W State St , Doylestown PA 18901-2554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Polesuk, Brian S can be contacted via phone (215) 345-2290.

Contact Information

Primary practice address
595 W State St Doylestown PA 18901-2554
Phone: (215) 345-2290
Fax: (215) 345-2596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD067885L Pennsylvania

Profile Details

NPI number 1053309773
LBN Legal business name Polesuk, Brian S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jun 19th, 2009 - about 16 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 1053309773 NPPES
Pennsylvania MEDICAID 001738566

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