Cynthia M Poulos, MD
Individual provider Active NPI Plastic Surgery Physician · Northboro, MA
NPI 1902864531 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1902864531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 78672 (MA)
- Practice address
- 17 South St
Northboro, MA 01532 - Phone
- (508) 393-4544
- Fax
- (508) 393-4692
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia M Poulos MD LLC | Plastic Surgery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 78672 | MA | Yes |
Addresses
Primary practice location
17 South St
Northboro, MA 01532
Mailing address
17 South St
Northboro, MA 01532
Phone (508) 393-4544
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3118975 | Medicaid | MA |
Other providers in Northboro, MA
- Lesley Weber Gustafson
- Rebecca P Haberman
- Glenn Robin Kessler
- C Susie King
- Patricia a Pfeifer DMD PC
- Akram E Rafla
- Diane M. Rigney
All providers in Northboro, MA · Plastic Surgery Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.