Search › New Jersey › 122300000X
Theodore Poltorak, DDS
NPI 1588853857 · on the registry since 2007 · sole proprietor
Practice
- Address
- 77 Central Sq
Linwood, NJ 08221 - Phone
- (609) 927-4336
- Fax
- (609) 926-3310
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey