Provider Demographics
NPI:1821206293
Name:POLCARI, CHRISTINE D (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:D
Last Name:POLCARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:D
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:75 WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-9147
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:781-878-6750
Practice Address - Street 1:75 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-9147
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:781-878-6750
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231131208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
7306197OtherCIGNA
MAAA94289OtherHARVARD PILGRIM
042297845OtherTRICARE
MA2142341Medicaid
MA458990OtherTUFTS
MA129320OtherFALLON
MA458990OtherTUFTS MEDICARE PREFERRED
MA7104170OtherAETNA
MAJ42039OtherBCBS
MA042297845OtherUHC
7104170OtherAETNA
MAAA94289OtherH.P.
MA0042151OtherNEIGHBORHOOD HEALTH PLAN
MA042297845OtherGWHC
MAJ42039OtherBCBS MA
MA042297845OtherUNITED HEALTH CARE
MAAA94289OtherHARVARD PILGRIM
MA042297845OtherGWHC