MID STATE MD, LLC
Organization (NPI-2)
Active
Plastic Surgery
Provider Information
- NPI Number
1881956514- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 85 CHURCH ST STE 500, MIDDLETOWN, CT, 064573647
- Phone
- (860) 346-8657
- Fax
- (860) 347-9554
Specialties & Taxonomies
Plastic Surgery
Primary License: CT #18705