MR. SERGE PETER POULIN MD
NPI 1215954938
Family Medicine in Manchester, CT

Q: What is Serge Poulin's NPI number?

The NPI number for Serge Poulin is 1215954938. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Serge Poulin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Serge Poulin was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2006

315 E. CENTER ST, MANCHESTER, CT 06040(860) 649-6900(860) 647-0469 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Serge Peter Poulin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SERGE PETER POULIN MD (NPI 1215954938) is an individual family medicine provider in Manchester, Connecticut, licensed in Connecticut (027117) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1215954938

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. SERGE PETER POULINCredential: MD

Location Address315 E. CENTER STManchester, CT 06040

Mailing Address315 E. Center StManchester, CT 06040 · (860) 649-6900 · Fax (860) 647-0469

Phone(860) 649-6900

Fax(860) 647-0469

Sole ProprietorYes

Enumeration DateJuly 17, 2006

Last NPPES UpdateMay 11, 2010

✔ NPI 1215954938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CT · 027117

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

315 E. CENTER ST, Manchester, CT 06040

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Other Identifiers 5

Medicare PIN080000613

Medicaid027117CT

Medicare UPINB37894

Medicare UPINB37894CT

Medicaid001271171CT

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serge Poulin's NPI number?

The NPI number for Serge Poulin is 1215954938. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Serge Poulin located?

Serge Poulin practices at 315 E. Center St, Manchester, CT 06040. The listed phone number is (860) 649-6900.

What is Serge Poulin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Serge Poulin was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.