Polonsky, Monty Brian

Polonsky, Monty Brian is an individual health care provider with primary practice located at 622 W Duarte Rd Suite 202, Arcadia CA 91007-7606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Polonsky, Monty Brian can be contacted via phone (626) 446-4461.

Contact Information

Primary practice address
622 W Duarte Rd Suite 202 Arcadia CA 91007-7606
Phone: (626) 446-4461
Fax: (626) 445-0647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G62039 California

Profile Details

NPI number 1205926565
LBN Legal business name Polonsky, Monty Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2006
Last updated Mar 28th, 2017 - about 8 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 1205926565 NPPES
California Other CB236677 MEDICARE GR ID
California Other G62039 MEDICARE GR ID

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