Active NPIIndividual providerSole proprietor

Mario Polanco, DO

Technician/Technologist, Optician in Haverhill, Massachusetts

NPI Number1629357033
Practice location
161 Washington St., Haverhill, MA 01832-5418
Fax
—
Last updated
August 16, 2011

Mario Polanco is a Technician/Technologist, Optician based in Haverhill, MA. Mario Polanco practices in Haverhill, MA and has the professional credentials of DO. The NPI Number for Mario Polanco is 1629357033 and holds a License No. 6276 (MA). The current practice location address for Mario Polanco is 161 Washington St., Haverhill, MA 01832-5418 and can be reached out via phone at 978-912-7466.

Provider Profile Details

NPI Number
1629357033
Provider Name
Mario Polanco
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
161 Washington St., Haverhill, MA 01832-5418
Phone Number
978-912-7466
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
Yes
Provider Enumeration Date
August 16, 2011
Last Update Date
August 16, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
161 Washington St.
Haverhill, MA 01832-5418
Zip
01832-5418
Phone Number
978-912-7466
Haverhill, MA 01832Get directions →

Provider Business Mailing Address Details

Address
161 Washington St.
Haverhill, MA 01832-5418
City
Haverhill
State
MA
Zip
01832-5418
Phone Number
978-912-7466

License Information

License Number
6276
License State
MA
Taxonomy
Technician/Technologist, Optician · 156FX1800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mario Polanco, DO?

The NPI number of Mario Polanco, DO is 1629357033. It was assigned on August 16, 2011 and is currently active in the NPPES registry.

What is the specialty of Mario Polanco, DO?

Mario Polanco, DO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in MA under license number 6276.

Where does Mario Polanco, DO practice?

The practice location is 161 Washington St., Haverhill, MA 01832-5418. The office can be reached at 978-912-7466 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629357033 directly on the NPPES registry website.

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