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Contact Information

MIDSTATE MEDICAL GROUP, PC
98 MAIN ST STE 300
SOUTHINGTON, CT06489-2500
 Phone: 203-694-5580
 Fax: 860-620-0446
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MIDSTATE MEDICAL GROUP PC · (Female)

NPI # 1427089598
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2006
Last updated 08/24/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 004260022
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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