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Dr. Franklin Randall Polun
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Franklin Randall Polun |
| Gender: | M |
| Provider License Number If Given: | 941 |
NPI Information:
| NPI: | 1881697886 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 2/22/2019 |
Provider Business Mailing Address:
| Address: | 12400 PARK POTOMAC AVE # R2 Potomac, MD 20854 |
| Phone Number: | 3019838202 |
| Fax Number: | 8778105148 |
Provider Business Practice Location Address:
| Address: | 12400 PARK POTOMAC AVE # R2 Potomac, MD 20854 |
| Phone Number: | 3019838202 |
| Fax Number: | 3012993985 |
Provider Taxonomy:
| Primary: | 213E00000X |
| Secondary (if any): | 213ES0103X |
| State: | MD |
