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1518997881
STACEY POLAN
PHILA, PA
NPI
1518997881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA OS004495L)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
Dr. STACEY POLAN D.O.
152 WOLF ST
PHILA, PA 19148-3325
Phone number: 215-465-5607
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Mailing Address
Dr. STACEY POLAN D.O.
4 SNOWDEN RD
BALA CYNWYD, PA 19004-2633
Phone number: 215-465-5607
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