Philip R. Poulin, O.d.

NPI #1134397557 in Portland, Maine

Provider Information

NPI Number: 1134397557
Entity Type: Organization
Organization Name: Philip R. Poulin, O.d.
Primary Specialty: Point of Service
Enumeration Date: Feb 19, 2008
Last Updated: Feb 19, 2008

Practice Location

Address: 87 EXCHANGE ST
City: Portland
State: Maine
ZIP Code: 04101-5001
Phone: (207) 871-7553

Authorized Official

Name: MS. TRUDY M POULIN
Title: MANAGER
Phone: (207) 871-7553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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