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Organization
SERGE P. POULIN, MD
Active
Organization
SERGE P. POULIN, MD
Active
Parent organization
SERGE P. POULIN, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SERGE P. POULIN, MD
Authorized official
LOUISE POULIN (MANAGER)
(860) 649-6900
Entity
Organization
Contact information
Practice address
315 E CENTER ST, MANCHESTER, CT 06040-5251
(860) 649-6900
(860) 647-0469
Mailing address
315 E CENTER ST, MANCHESTER, CT 06040-5251
(860) 649-6900
(860) 647-0469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CT
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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