Provider Demographics
NPI:1588735443
Name:POLASKI, RAYMOND (DC)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:
Last Name:POLASKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 W CHESTNUT HILL RD STE 1&2
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2210
Mailing Address - Country:US
Mailing Address - Phone:302-317-9309
Mailing Address - Fax:302-384-7563
Practice Address - Street 1:179 W CHESTNUT HILL RD STE 1&2
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2210
Practice Address - Country:US
Practice Address - Phone:302-317-9309
Practice Address - Fax:302-384-7563
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000551111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE3180857OtherAETNA HMO
DE680536689Medicaid
DE1471580OtherAMERIHEALTH PPO
DE680536689OtherCIGNA
DE680536689OtherBLUE CROSS BLUE SHIELD
DE5897460OtherGHI
DE7834488OtherAETNA PPO
DE680536689OtherUNITED HEALTH CARE
DE2155041000OtherAMERIHEALTH HMO
DEKET6POOtherCARE FIRST
U71987Medicare UPIN