# DR. PAUL ROBERT BOURGUIGNON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154372175
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 038703 | CT | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 05/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001387035 | — | CT |
| 01 | — | 010038703CT03 | ANTHEM | CT |
| 01 | — | 038703 | CONNECTICARE | CT |
| 01 | — | 2V8005 | HEALTHNET | — |
| 01 | — | 9636760 | CIGNA | CT |
| 01 | — | P3418275 | OXFORD | CT |