Provider Demographics
NPI:1063456705
Name:POLIN, JOEL I (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:I
Last Name:POLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 HIGLNAD AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001
Mailing Address - Country:US
Mailing Address - Phone:215-572-6222
Mailing Address - Fax:215-481-2048
Practice Address - Street 1:1235 HIGLAND AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001
Practice Address - Country:US
Practice Address - Phone:215-572-6222
Practice Address - Fax:215-481-2048
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD006513E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology