Individual
CYNTHIA M POULOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 SOUTH ST, NORTHBORO, MA 01532
(508) 393-4544
(508) 393-4692
Mailing address
17 SOUTH ST, NORTHBORO, MA 01532
(508) 393-4544
(508) 393-4692
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
78672
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3118975
—
MA
Enumeration date
05/03/2006
Last updated
07/08/2007
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