Healthcare Provider Details

I. General information

NPI: 1154485472
Provider Name (Legal Business Name): PAYTON DUKE TURPIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 03/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 COLLINS RD
BRISTOL CT
06010-3893
US

IV. Provider business mailing address

4 FARM SPRINGS RD
FARMINGTON CT
06032-2573
US

V. Phone/Fax

Practice location:
  • Phone: 860-584-4537
  • Fax: 860-584-4538
Mailing address:
  • Phone: 860-284-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number027344
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number027344
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: