Polos, Peter G.

Polos, Peter G. is an individual health care provider with primary practice located at 65 James St , Edison NJ 08820-3947. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Polos, Peter G. can be contacted via phone (732) 321-7010.

Contact Information

Primary practice address
65 James St Edison NJ 08820-3947
Phone: (732) 321-7010
Fax: (732) 744-5873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07459300 New Jersey
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA07459300 New Jersey

Profile Details

NPI number 1285634501
LBN Legal business name Polos, Peter G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 21st, 2009 - about 15 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 1285634501 NPPES
New Jersey MEDICAID 0041599

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