Bourguignon, Paul Robert
Bourguignon, Paul Robert is an individual health care provider with primary practice located at 50 Fair Harbour Pl Suite 2C, New London CT 06320-4731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Bourguignon, Paul Robert can be contacted via phone (860) 443-3147.Contact Information
Primary practice address
50 Fair Harbour Pl Suite 2C
New London CT 06320-4731
Phone: (860) 443-3147
Fax: (860) 443-0087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 038703 | Connecticut |
Profile Details
| NPI number | 1154372175 |
|---|---|
| LBN Legal business name | Bourguignon, Paul Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | May 8th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154372175 | NPPES |
| Other | 2V8005 | HEALTHNET | |
| Other | P3418275 | HEALTHNET | |
| MEDICAID | 001387035 | HEALTHNET | |
| Other | 038703 | HEALTHNET | |
| Other | 010038703CT03 | HEALTHNET | |
| Other | 9636760 | HEALTHNET |
Popular Providers
-
Fischer, Uwe M
365 Montauk Ave , New London CT 06320-4700 -
Ochoa Chaar, Cassius Iyad N
330 Cedar St , New Haven CT 06510-3218 -
Sanderson, Jeffrey Robert
4 Park Lane , New Milford CT 06776 -
Ma, Harry
2 Shaws Cv Ste 203 , New London CT 06320-4975 -
Napoletano, Robert
1 Lake St Grove Hill Medical Center, New Britain CT 06052-1396 -
Strosberg, David Seth
330 Cedar Street Boardman Building 204, New Haven CT 06510-3218 -
Stein, Adam
2 Shaws Cv Ste 203 , New London CT 06320-4975 -
Nassiri, Naiem
Yale University 330 Cedar Street, Boardman Building 204, New Haven CT 06510