Individual
DR. JULIE POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
(802) 747-6207
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
(802) 747-6207
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
042.0012638
VT
2084P0800X
Psychiatry Physician
Primary
042-0012638
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022095
—
VT
Enumeration date
07/13/2009
Last updated
02/06/2019
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