Provider Demographics
NPI:1811908106
Name:POLLARD, EMILY FRANCES (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:FRANCES
Last Name:POLLARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:555 E CITY AVE
Mailing Address - Street 2:SUITE 1170
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1115
Mailing Address - Country:US
Mailing Address - Phone:610-667-0100
Mailing Address - Fax:610-667-5171
Practice Address - Street 1:555 E CITY AVE
Practice Address - Street 2:SUITE 1170
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1115
Practice Address - Country:US
Practice Address - Phone:610-667-0100
Practice Address - Fax:610-667-5171
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-060899-L208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA03535030300OtherBLUE CROSS
PAE96770Medicare UPIN