Individual
GEORGE WILLIAM POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
680 CENTRE ST, SIGNATURE HEALTHCARE, BROCKTON HOSPITAL, RADIOLOGY, BROCKTON, MA 02302-3308
(508) 941-7150
Mailing address
6 NAVAHO DR, CANTON, MA 02021-1261
(781) 254-4226
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101278879
VA
2085R0202X
Diagnostic Radiology Physician
Primary
234627
MA
Other
Enumeration date
03/31/2008
Last updated
08/01/2023
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