Provider Demographics
NPI:1295811172
Name:POLSBY, M MAUREEN (MD)
Entity type:Individual
Prefix:DR
First Name:M
Middle Name:MAUREEN
Last Name:POLSBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 LIVINGSTON STREET, N.W.
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1756
Mailing Address - Country:US
Mailing Address - Phone:202-363-6331
Mailing Address - Fax:
Practice Address - Street 1:3420 LIVINGSTON ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-1756
Practice Address - Country:US
Practice Address - Phone:202-363-6331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC152352084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology