Individual provider · Type 1 NPI

Tatyana Poll, PA-C

Medical Physician Assistant · Toms River, NJ

NPI number 1821530593 Active

Practice location

970 Hooper Ave # 2
Toms River, NJ 08753-8319

Call (732) 228-4146 Map

Fax (732) 504-7104

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00537700 (NJ)
Physician Assistant 363A00000X020268 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1821530593

Tatyana Poll, PA-C's National Provider Identifier is 1821530593, issued on Nov 13, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Toms River, NJ. The record was last updated on May 28, 2024.