Individual
STEPHANE POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MCLEAN HOSPITAL, 115 MILL STREET, BELMONT, MA 02478
(617) 855-2183
Mailing address
19 HARVARD RD, BELMONT, MA 02478-3741
(617) 855-2183
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
234391
MA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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