Individual
PAUL HARVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(860) 585-3313
Mailing address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(860) 585-3313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
039872
CT
208M00000X
Hospitalist Physician
Primary
039872
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001398727
—
CT
01
—
P00058370
RAILROAD MEDICARE
CT
Enumeration date
02/07/2006
Last updated
10/20/2011
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