Paul David Portnoy Valid NPI
Individual provider · Pharmacist · Methuen, MA
- NPI
- 1477673317
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 18794 (MA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-31
- Last updated
- 2007-07-08
Practice location
256 Pleasant St
Methuen, MA 01844-7151
(978) 683-5690