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Contact Information

MIDSTATE MEDICAL GROUP, PC
435 LEWIS AVENUE
MIDSTATE MEDICAL GROUP, PC
MERIDEN, CT06451
 Phone: 203-694-8750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

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

NPI # 1356361315
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2006
Last updated 04/09/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # N/A
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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