Individual
ALVA CURTIS POULOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 PONTIAC AVE STE 101, CRANSTON, RI 02920-4486
(401) 944-4300
(401) 464-4071
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20550
RI
207Q00000X
Family Medicine Physician
MMD.87769
SC
Other
Enumeration date
03/20/2022
Last updated
05/09/2025
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