| Serge P. Poulin, Md | |
|
315 E Center St Manchester CT 06040-5251 | |
| (860) 649-6900 | |
| (860) 647-0469 |
| Full Name | Serge P. Poulin, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 315 E Center St, Manchester, Connecticut |
| Authorized Official Name and Position | Louise Poulin (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 315 E Center St Manchester CT 06040-5251 Ph: (860) 649-6900 | Serge P. Poulin, Md 315 E Center St Manchester CT 06040-5251 Ph: (860) 649-6900 |
| NPI Number | 1174712814 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174712814 | NPI | - | NPPES |
| 027117 | Other | CT | CONNECTICARE |
| 0102711703 | Other | CT | CIGNA |
| 010027117CT01 | Other | CT | BC |
| 0104460 | Other | CT | UNITED |
| 0V0122 | Other | CT | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Connecticut) | Primary |
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