Individual
ELANA Y POULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
477 ANDOVER ST, NORTH ANDOVER, MA 01845-5036
(978) 975-3355
Mailing address
477 ANDOVER ST, NORTH ANDOVER, MA 01845-5036
(978) 975-3355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036119638
IL
208000000X
Pediatrics Physician
Primary
245266
MA
Other
Enumeration date
03/17/2008
Last updated
11/08/2010
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