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1356381412
MARK R POLAK
NORFOLK, VA
NPI
1356381412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: VA 0101050212)
Enumeration Date
2006-06-07
Last Update Date
2010-01-15
Business Address
-- MARK R POLAK D.O.
601 CHILDRENS LN
NORFOLK, VA 23507-1910
Phone number: 757-668-7320
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Mailing Address
-- MARK R POLAK D.O.
PO BOX 79137
BALTIMORE, MD 21279-0137
Phone number: 757-668-7200
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