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SERGE P. POULIN, MD
NPI 1770860504
Family Medicine in Manchester, CT

Active since November 08, 2011
629 E MIDDLE TPKE, MANCHESTER, CT 06040(860) 649-6900(860) 647-0469 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Serge P. Poulin, Md NPPES

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

SERGE P. POULIN, MD (NPI 1770860504) is a healthcare organization registered as a family medicine in Manchester, Connecticut and active in the NPI registry since November 2011. The organization lists Lousie Poulin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770860504
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSERGE P. POULIN, MD
Location Address629 E MIDDLE TPKEManchester, CT 06040-3731
Mailing Address629 E Middle TpkeManchester, CT 06040-3731 · (860) 649-6900 · Fax (860) 647-0469
Phone(860) 649-6900
Fax(860) 647-0469
Organization SubpartNo
Authorized OfficialLousie PoulinOffice Manager · (860) 649-6900
Enumeration DateNovember 8, 2011
✔ NPI 1770860504 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.
629 E MIDDLE TPKE, Manchester, CT 06040
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Other Identifiers 1

Medicaid0027117CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 P. Poulin, MD's NPI number?

The NPI number for Serge P. Poulin, MD is 1770860504. It was assigned to this organization in the NPPES registry on November 8, 2011.

Where is Serge P. Poulin, MD located?

Serge P. Poulin, MD is located at 629 E Middle Tpke, Manchester, CT 06040. The listed phone number is (860) 649-6900.

What is Serge P. Poulin, MD'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 P. Poulin, MD was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.