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Dr. Paul Robert Bourguignon, MD
Vascular Surgery Physician in New London, Connecticut
NPI 1154372175

Paul Robert Bourguignon is a Vascular Surgery Physician based in New London, CT and is specialized in Vascular Surgery. 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 (Connecticut).

The current practice location address for Paul Robert Bourguignon is 50 Fair Harbour Pl, New London, CT and can be reached out via phone at 860-443-3147 and via fax at 860-443-0087.

Location: 50 Fair Harbour Pl, New London, CT, 06320-4731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154372175
Provider Name
Paul Robert Bourguignon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
50 Fair Harbour Pl, New London, CT, 06320-4731
Phone Number
860-443-3147
Fax Number
860-443-0087
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2V8005 01 HEALTHNET
P3418275 01 CT OXFORD
001387035 05 CT
038703 01 CT CONNECTICARE
010038703CT03 01 CT ANTHEM
9636760 01 CT CIGNA
institution
Provider Business Practice Location Address Details
Address
50 Fair Harbour Pl
City
New London
State
Connecticut
Zip
06320-4731
Phone Number
860-443-3147
Fax Number
860-443-0087
person
Provider Business Mailing Address Details
Address
50 Fair Harbour Pl
City
New London
State
Connecticut
Zip
06320-4731
Phone Number
860-443-3147
Fax Number
860-443-0087
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
038703 (Connecticut)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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