Individual
DR. SCOTT CRAIG POULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 FREDERICK RD, SUITE 204, CATONSVILLE, MD 21228-4645
(410) 747-8773
Mailing address
405 FREDERICK RD STE 200, CATONSVILLE, MD 21228-4647
(410) 747-8773
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0040012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0674214 00
—
MD
Enumeration date
08/11/2006
Last updated
02/01/2023
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