Poulos, Cynthia M

Poulos, Cynthia M is an individual health care provider with primary practice located at 17 South St , Northboro MA 01532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Poulos, Cynthia M can be contacted via phone (508) 393-4544.

Contact Information

Primary practice address
17 South St Northboro MA 01532
Fax: (508) 393-4692
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 78672 Massachusetts

Profile Details

NPI number 1902864531
LBN Legal business name Poulos, Cynthia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902864531 NPPES
Massachusetts MEDICAID 3118975

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