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1144669540
BRANDON EDWARD POLASKO
FAIRFAX, VA
NPI
1144669540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110005066)
Enumeration Date
2013-06-19
Last Update Date
2023-03-07
Business Address
BRANDON EDWARD POLASKO PA-C
10100 FAIRFAX BLVD
FAIRFAX, VA 22030-2000
Phone number: 703-679-1876
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Mailing Address
BRANDON EDWARD POLASKO PA-C
5000 COX RD
GLEN ALLEN, VA 23060-9263
Phone number: 804-968-5700
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