Provider Demographics
NPI:1427374305
Name:POLLACK, ARI T (MD)
Entity Type:Individual
Prefix:DR
First Name:ARI
Middle Name:T
Last Name:POLLACK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:226 MILL HILL AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-2826
Mailing Address - Country:US
Mailing Address - Phone:203-292-2000
Mailing Address - Fax:203-255-5212
Practice Address - Street 1:1305 POST RD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6016
Practice Address - Country:US
Practice Address - Phone:203-292-2000
Practice Address - Fax:203-255-5212
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2016-04-25
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CT054904207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program