Serge P. Poulin, Md

LBN: Serge P. Poulin, Md
Serge P. Poulin, Md is an health care organization with primary practice located at 315 E Center St , Manchester CT 06040-5251. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Serge P. Poulin, Md can be contacted via phone (860) 649-6900, or through Poulin, Louise via phone (860) 649-6900.

Contact Information

Primary practice address
315 E Center St Manchester CT 06040-5251
Phone: (860) 649-6900
Fax: (860) 647-0469
Website:
Map and Directions
Authorized official contact:
Name: Poulin, Louise
Phone: (860) 649-6900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Connecticut

Profile Details

NPI number 1174712814
LBN Legal business name Serge P. Poulin, Md
DBA Doing business as
Authorized official Poulin, Louise
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 18th, 2007
Last updated Oct 18th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174712814 NPPES
Connecticut Other 027117 CONNECTICARE
Connecticut Other 0102711703 CONNECTICARE
Connecticut Other 010027117CT01 CONNECTICARE
Connecticut Other 0104460 CONNECTICARE
Connecticut Other 0V0122 CONNECTICARE

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