NPI 1134397557

Philip R. Poulin, O.D.

Organisation Point of Service Portland, ME

Practice location

Address: 87 Exchange St, Portland, ME 04101-5001
Phone: (207) 871-7553

Authorised official

Name: Trudy M Poulin
Title: Manager
Phone: (207) 871-7553

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 712T (ME)

Other Point of Service providers in Maine →

Registry record

NPI: 1134397557
Entity type: Organization
NPI issued: 19 Feb 2008
Record last updated: 19 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.