Organization
CYNTHIA M POULOS MD LLC
Active
Parent organization
CYNTHIA M POULOS MD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CYNTHIA M POULOS MD LLC
Authorized official
CYNTHIA M POULOS MD LLC (OWNER/PROVIDER)
(508) 393-4544
Entity
Organization
Contact information
Practice address
17 SOUTH STREET, NORTHBOROUGH, MA 01532
(508) 393-4544
Mailing address
17 SOUTH STREET, NORTHBOROUGH, MA 01532
(508) 393-4544
(508) 393-4692
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
78672
MA
Other
Enumeration date
03/31/2014
Last updated
10/22/2014
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