Cullen Michael Taplin, | |
365 Montauk Ave, New London, CT 06320-4700 | |
(860) 442-0711 | |
Not Available |
Full Name | Cullen Michael Taplin |
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Gender | Male |
Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
Location | 365 Montauk Ave, New London, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730449927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 62333 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
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Cullen Michael Taplin, 226 Mill Hill Ave, Bridgeport, CT 06610-2826 Ph: () - | Cullen Michael Taplin, 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 |
Kenneth Wilson Smead Iii, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 4 Shaws Cv Ste 101, John J. Mcguirk Va Outpatient Clinic, New London, CT 06320 Phone: 860-437-3611 | |
Geraldine S Ruffa, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-446-8265 Fax: 860-448-6961 |