Individual
NICHOLAS POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11120 NEW HAMPSHIRE AVE, SUITE 200, SILVER SPRING, MD 20904-2633
(301) 592-8200
Mailing address
11120 NEW HAMPSHIRE AVE, SUITE 200, SILVER SPRING, MD 20904-2633
(301) 592-8200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A4567
MD
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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