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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

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