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Individual

DR. RONALD F POULIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
885 KEMPSVILLE RD, SUITE # 100, NORFOLK, VA 23502-3800
(757) 466-1800
(757) 466-2790
Mailing address
885 KEMPSVILLE RD, SUITE # 100, NORFOLK, VA 23502-3800
(757) 466-1800
(757) 466-2790

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5826403
VA
Enumeration date
07/05/2006
Last updated
07/08/2007
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