Individual
PAQUI D MOTYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382-2527
(860) 848-1297
(860) 848-9875
Mailing address
112 LAFAYETTE ST, NORWICH, CT 06360-2737
(860) 848-1297
(860) 848-9875
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
033964
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060646704
TRI-CARE
—
05
—
4024972
—
CT
05
—
4041679
—
CO
01
—
P00120176
CLINIC
—
Enumeration date
11/02/2006
Last updated
03/05/2014
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