Provider Demographics
NPI:1871681619
Name:POLINER, JAY R (MD)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:R
Last Name:POLINER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:200 RETREAT AVE
Mailing Address - Street 2:RESEARCH BUILDING, 8TH FLOOR
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-3309
Mailing Address - Country:US
Mailing Address - Phone:860-545-7596
Mailing Address - Fax:860-549-2215
Practice Address - Street 1:265 ELLINGTON RD
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-1176
Practice Address - Country:US
Practice Address - Phone:860-569-8800
Practice Address - Fax:860-291-2788
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT031260207Q00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine