Dr. Paul Robert Bourguignon
Vascular Surgeon
50 Fair Harbour Pl Suite 2c
New London
, Connecticut 06320-4731
Dr. Paul Robert Bourguignon
Vascular Surgeon
50 Fair Harbour Pl Suite 2c
New London
, Connecticut 06320-4731
(860) 443-0087
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Paul Robert Bourguignon
- 50 Fair Harbour Pl Suite 2c
- New London, CT
- Zip : 06320-4731
- Fax : (860) 443-0087
- Phone : (860) 443-3147
Second Address
- Dr. Paul Robert Bourguignon
- 50 Fair Harbour Pl Suite 2c
- New London, CT
- Zip : 06320-4731
- Fax : (860) 443-0087
- Phone : (860) 443-3147
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 038703 | CT |
National Provider Identifier
| NPI | 1154372175 |
|---|---|
| Provider Name | Dr. Paul Robert Bourguignon |
| First Address | New London, CT 06320-4731 |
| Second Address | New London, CT 06320-4731 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2006 |
| Last Update Date | 08/05/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001387035 | (05) | CT |
| 010038703CT03 | ANTHEM (01) | CT |
| 038703 | CONNECTICARE (01) | CT |
| 2V8005 | HEALTHNET (01) | |
| 9636760 | CIGNA (01) | CT |
| H15071 | (02) | CT |
| P3418275 | OXFORD (01) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.