Individual
DR. IGOR SAMEGULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
74 PARK RD, WEST HARTFORD, CT 06119-1853
(860) 218-1725
(860) 218-1727
Mailing address
74 PARK RD, WEST HARTFORD, CT 06119-1853
(860) 218-1725
(860) 218-1727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049234
CT
208M00000X
Hospitalist Physician
49234
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023148
—
CT
Enumeration date
01/21/2008
Last updated
05/03/2017
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