George W Poulos, MD, PHD
Radiology, Diagnostic Radiology in Brockton, Massachusetts
1215109103- Practice location
- 680 Centre St, Signature Healthcare, Brockton Hospital, Radiology, Brockton, MA 02302-3308
- Phone
- 508-941-7150
- Fax
- —
- Last updated
- August 1, 2023
George William Poulos is a Radiology, Diagnostic Radiology based in Brockton, MA. George William Poulos practices in Brockton, MA and has the professional credentials of MD, PHD. The NPI Number for George William Poulos is 1215109103 and holds a License No. 0101278879 (VA). The current practice location address for George William Poulos is 680 Centre St, Signature Healthcare, Brockton Hospital, Radiology, Brockton, MA 02302-3308 and can be reached out via phone at 508-941-7150.
Provider Profile Details
- NPI Number
- 1215109103
- Provider Name
- George William Poulos
- Credential
- MD, PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 680 Centre St, Signature Healthcare, Brockton Hospital, Radiology, Brockton, MA 02302-3308
- Phone Number
- 508-941-7150
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 31, 2008
- Last Update Date
- August 1, 2023
- Certification Date
- August 1, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 680 Centre St
Signature Healthcare, Brockton Hospital, Radiology
Brockton, MA 02302-3308 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302-3308
- Phone Number
- 508-941-7150
Provider Business Mailing Address Details
- Address
- 6 Navaho Dr
Canton, MA 02021-1261 - City
- Canton
- State
- MA
- Zip
- 02021-1261
- Phone Number
- 781-254-4226
License Information
- License Number (1)
- 0101278879
- License State (1)
- VA
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (2)
- 234627
- License State (2)
- MA
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Brockton, MA
View all Radiology, Diagnostic Radiology providers in Brockton →- Alyssa Dicosmo, MDRadiology, Diagnostic Radiology · NPI 1679198493
- Amrit Chopra, MDRadiology, Diagnostic Radiology · NPI 1720030265
- Brian L Coolbaugh, MDRadiology, Diagnostic Radiology · NPI 1710094396
- David C Yu, MDRadiology, Diagnostic Radiology · NPI 1376541045
- Dr. Bruce K Bertrand, MDRadiology, Diagnostic Radiology · NPI 1215918891
- James M Bevilacqua, MDRadiology, Diagnostic Radiology · NPI 1730132135
Frequently Asked Questions
What is the NPI number of George W Poulos, MD, PHD?
The NPI number of George W Poulos, MD, PHD is 1215109103. It was assigned on March 31, 2008 and is currently active in the NPPES registry.
What is the specialty of George W Poulos, MD, PHD?
George W Poulos, MD, PHD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in VA under license number 0101278879.
Where does George W Poulos, MD, PHD practice?
The practice location is 680 Centre St, Signature Healthcare, Brockton Hospital, Radiology, Brockton, MA 02302-3308. The office can be reached at 508-941-7150 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215109103 directly on the NPPES registry website.