Provider Demographics
NPI:1467552398
Name:POLLAK, ALAIN A (MD)
Entity type:Individual
Prefix:
First Name:ALAIN
Middle Name:A
Last Name:POLLAK
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 1:253 WEATHERBEE DR
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2140
Mailing Address - Country:US
Mailing Address - Phone:781-329-6736
Mailing Address - Fax:
Practice Address - Street 1:WEST ROXBURY VA MEDICAL CENTER
Practice Address - Street 2:1400 VFW PARKWAY
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132
Practice Address - Country:US
Practice Address - Phone:857-203-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA426952085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110063872AMedicaid
MAD08865Medicare UPIN
MA110063872AMedicaid