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Individual
ANTONY MATHEW POOTHULLIL
Active
Individual
ANTONY MATHEW POOTHULLIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD00045365
WA
207W00000X
Ophthalmology Physician
Primary
MD25979
OR
Other
Enumeration date
09/20/2006
Last updated
02/04/2022
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