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NPI Code Detail

MEDICARE: SOPHY PAULINO MD

MEDICARE: SOPHY PAULINO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician72010CT

General Provider Information

NPI Number : 1366948135
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHY PAULINO MD
Provider Business Mailing Address
First Line : 263 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06030-0001
Country : US
Telephone Number : 860-679-2147
Fax Number :
Provider Business Practice Location Address
First Line : 263 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06030-0001
Country : US
Telephone Number : 860-679-2147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2018
Last Update Date : 03/19/2026

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Directions to “ SOPHY PAULINO MD” Practice Location

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