Provider Demographics
NPI:1134673890
Name:POIRIER, NOEL (MAC)
Entity Type:Individual
Prefix:MR
First Name:NOEL
Middle Name:
Last Name:POIRIER
Suffix:
Gender:M
Credentials:MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2169
Mailing Address - Country:US
Mailing Address - Phone:781-729-0495
Mailing Address - Fax:
Practice Address - Street 1:175 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2169
Practice Address - Country:US
Practice Address - Phone:781-729-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist