Serge P. Poulin, Md | |
629 E Middle Tpke Manchester CT 06040-3731 | |
(860) 649-6900 | |
(860) 647-0469 |
Full Name | Serge P. Poulin, Md |
---|---|
Speciality | Family Medicine |
Location | 629 E Middle Tpke, Manchester, Connecticut |
Authorized Official Name and Position | Lousie Poulin (OFFICE MANAGER) |
Authorized Official Contact | 8606496900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Serge P. Poulin, Md 629 E Middle Tpke Manchester CT 06040-3731 Ph: (860) 649-6900 | Serge P. Poulin, Md 629 E Middle Tpke Manchester CT 06040-3731 Ph: (860) 649-6900 |
NPI Number | 1770860504 |
---|---|
Provider Enumeration Date | 11/08/2011 |
Last Update Date | 11/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770860504 | NPI | - | NPPES |
0027117 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 027117 (Connecticut) | Primary |
News Archive
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