Individual
FREDERICK K POULIN JR.
Active
Individual
FREDERICK K POULIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD10685
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002368
ANTHEM
—
05
—
273490099
—
ME
05
—
30002365
—
NH
Enumeration date
06/23/2006
Last updated
05/31/2013
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