Individual
FREDERICK K POULIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3770
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3770
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us