| Cullen Michael Taplin, | |
|
365 Montauk Ave, New London, CT 06320-4700 | |
| (860) 442-0711 | |
| Not Available |
| Full Name | Cullen Michael Taplin |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
| Location | 365 Montauk Ave, New London, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730449927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 62333 (Connecticut) | Primary |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Cullen Michael Taplin, 226 Mill Hill Ave, Bridgeport, CT 06610-2826 Ph: () - | Cullen Michael Taplin, 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 |
Kenneth Wilson Smead Iii, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 4 Shaws Cv Ste 101, John J. Mcguirk Va Outpatient Clinic, New London, CT 06320 Phone: 860-437-3611 | |
Geraldine S Ruffa, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-446-8265 Fax: 860-448-6961 |