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1649405747
JUSTIN M POLTAK
PORTLAND, ME
NPI
1649405747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: ME MD20056)
Enumeration Date
2009-05-19
Last Update Date
2015-11-02
Business Address
-- JUSTIN M POLTAK MD
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2526
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Mailing Address
-- JUSTIN M POLTAK MD
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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