Dr. Paul R Bourguignon, MD
Healthcare Provider in New London, Connecticut
1154372175- Practice location
- 50 Fair Harbour Pl, Suite 2C, New London, CT 06320-4731
- Phone
- 860-443-3147
- Fax
- 860-443-0087
- Last updated
- May 8, 2009
Paul Robert Bourguignon is a Healthcare Provider based in New London, CT. Paul Robert Bourguignon practices in New London, CT and has the professional credentials of MD. The NPI Number for Paul Robert Bourguignon is 1154372175 and holds a License No. 038703 (CT). The current practice location address for Paul Robert Bourguignon is 50 Fair Harbour Pl, Suite 2C, New London, CT 06320-4731 and can be reached out via phone at 860-443-3147 and via fax at 860-443-0087.
Provider Profile Details
- NPI Number
- 1154372175
- Provider Name
- Paul Robert Bourguignon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 50 Fair Harbour Pl, Suite 2C, New London, CT 06320-4731
- Phone Number
- 860-443-3147
- Fax Number
- 860-443-0087
- Primary Taxonomy
- Healthcare Provider · 2086S0129X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 15, 2006
- Last Update Date
- May 8, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Fair Harbour Pl
Suite 2C
New London, CT 06320-4731 - City
- New London
- State
- Connecticut
- Zip
- 06320-4731
- Phone Number
- 860-443-3147
- Fax Number
- 860-443-0087
Provider Business Mailing Address Details
- Address
- 50 Fair Harbour Pl
Suite 2C
New London, CT 06320-4731 - City
- New London
- State
- CT
- Zip
- 06320-4731
- Phone Number
- 860-443-3147
- Fax Number
- 860-443-0087
License Information
- License Number
- 038703
- License State
- CT
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Paul R Bourguignon, MD?
The NPI number of Dr. Paul R Bourguignon, MD is 1154372175. It was assigned on May 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Paul R Bourguignon, MD?
Dr. Paul R Bourguignon, MD is registered under the primary taxonomy Healthcare Provider (code 2086S0129X), licensed in CT under license number 038703.
Where does Dr. Paul R Bourguignon, MD practice?
The practice location is 50 Fair Harbour Pl, Suite 2C, New London, CT 06320-4731. The office can be reached at 860-443-3147 (phone) or 860-443-0087 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154372175 directly on the NPPES registry website.