Shayne Poulin M.D.

NPI 1184915407 - Family Medicine - 207Q00000X

NPI Details
NPI 1184915407
Gender Female
Enumeration Date 04/20/2011
Last Updated 12/10/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
850 HARRISON AVE
YACC 4
BOSTON MA, 02118-4001, US
Phone (617) 414-2080
Fax (617) 414-2090
Business Location
720 HARRISON AVE
DOB 503
BOSTON MA, 02118-2371, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Massachusetts
License Number 260709
Remove 1184915407 NPI Number
 

According to our database, Dr. Shayne Poulin M.D. NPI is 1184915407, taxonomy code is 207Q00000X and license number is 260709, license state is located at Massachusetts. Shayne Poulin M.D. physically located at 850 Harrison Ave, Boston MA, 02118-4001. NPI Number Shayne Poulin M.D. has the Individual type.

Sponsored links

1184915407 NPI number is provided on an as is basis without warranty of any kind. 1184915407 is maintained by the National Plan & Provider Enumeration System. The contents of Shayne Poulin M.D. are for informational purposes only.