DR. PAUL ROBERT BOURGUIGNON


Address: 50 Fair Harbour Pl, Suite 2c, New London, CT 06320-4731
Phone: 8604433147

DR. PAUL ROBERT BOURGUIGNON (NPI# 1154372175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154372175
Entity Type Individual
Full Name DR. PAUL ROBERT BOURGUIGNON
Credential M.D.
Practice Address 50 Fair Harbour Pl
Suite 2c
New London
CT 06320-4731
Practice Telephone 8604433147
Practice Fax Number 8604430087
Mailing Telephone 8604433147
Mailing Fax Number 8604430087
Enumeration Date 2006-05-15
Last Update Date 2009-05-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
038703 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 50 FAIR HARBOUR PL
SUITE 2C
City NEW LONDON
State CT
Zip Code 06320-4731

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558319194 Arthur S Welch Physician Assistant 50 Fair Harbour Pl, Suite 2-a, New London, CT 06320-4731 2006-05-05
1700310927 Anesthesia Associates of New London, P.c Pain Medicine 50 Fair Harbour Pl, New London, CT 06320-4731 2017-04-13
1700932308 Ronald Reid Durbin IIi Surgery 50 Fair Harbour Pl, Suite 2c, New London, CT 06320-4731 2007-01-26
1811076193 Ronald Paul Hantman Neurological Surgery 50 Fair Harbour Pl, New London, CT 06320-4731 2006-11-06
1952495087 General Surgical Associates of N.l., P.C. Surgery 50 Fair Harbour Pl, Suite 2-c, New London, CT 06320-4731 2006-10-03
1598859746 Dean Norman Willis Surgery 50 Fair Harbour Pl, Suite 2-c, New London, CT 06320-4731 2006-10-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942824891 Shilpi Jain Physical Therapist 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 2020-06-05
1174009641 Catherine Hinojosa Nurse Practitioner 1 Shaws Cove, New London, CT 06320 2018-07-17
1043668320 Cultivate & Grow Inc. Counselor 302 State St Suite 307, New London, CT 06320 2016-05-27
1295137263 Jacqueline Durnell Registered Nurse 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 2014-09-22
1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1518254507 Simon J Shapiro Physical Medicine & Rehabilitation 190 Howard Avenue, New London, CT 06320 2011-06-29
1184876708 Jane P Genido-trujillo Nurse Practitioner 270 Mohegan Ave., Student Health Services, New London, CT 06320 2008-10-14
1932356284 Gerard Joseph Ventura Dentist 21 Montauk Ave., Suite 102, New London, CT 06320 2008-08-19
Find all providers in zip 06320

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114019098 William Gething Crawford Surgery 21 Montauk Ave Ste 303, New London, CT 06320-4906 2006-09-29
1407124357 Uwe M Fischer Surgery 365 Montauk Ave, New London, CT 06320-4700 2011-12-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336748953 Usa Vascular Center of Connecticut Pllc Surgery 2284 Summer St, Stamford, CT 06905-4503 2020-10-23
1245839869 Usa Vein Clinics of Connecticut Pllc Surgery 2284 Summer St Ste A, Stamford, CT 06905-4503 2020-10-23
1326385428 Hossein L. Tehrani Surgery 49 East Hyerdale Drive, Goshen, CT 06756 2013-01-09
1922368810 Megan Fritton Shue Surgery 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 2012-05-24
1932474053 John E. Fenn Surgery 200 Leeder Hill Drive, #2603, Hamden, CT 06517 2012-03-22
1033366745 Naiem Nassiri Surgery Yale University, 330 Cedar Street, Boardman Building 204, New Haven, CT 06510 2008-08-25
1407989569 Christos G. Pappas Surgery 372 Danbury Rd Ste 220, Wilton, CT 06897-2523 2007-03-14
1477610913 Stephen Marc Bauer Surgery 455 East Putnam Ave, Old Greenwich, CT 06870 2007-01-03
1083713416 Raul J. Guzman Surgery 330 Cedar St Bldg 204, New Haven, CT 06510 2006-09-22
1801805403 Connecticut Vascular Surgical Associates, PC Surgery 100 Beard Sawmill Rd Ste 250, Shelton, CT 06484-6150 2006-08-05
Find all providers with the same taxonomy

Competitor

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City NEW LONDON
Zip Code 06320

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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