Middletown Surgical Group, Prof Corp
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Middletown, Connecticut
1184777054- Practice location
- 520 Saybrook Road, Suite S100, Middletown, CT 06457
- Phone
- 860-346-2608
- Fax
- 860-347-4691
- Last updated
- September 11, 2025
Middletown Surgical Group, Prof Corp is a healthcare organization based in Middletown, CT. Middletown Surgical Group, Prof Corp practices in Middletown, CT. The NPI Number for Middletown Surgical Group, Prof Corp is 1184777054 and holds a License No. 45609 (CT). The current practice location address for Middletown Surgical Group, Prof Corp is 520 Saybrook Road, Suite S100, Middletown, CT 06457 and can be reached out via phone at 860-346-2608 and via fax at 860-347-4691.
Provider Profile Details
- NPI Number
- 1184777054
- Provider Name
- Middletown Surgical Group, Prof Corp
- Provider Entity Type
- Organization
- Address
- 520 Saybrook Road, Suite S100, Middletown, CT 06457
- Phone Number
- 860-346-2608
- Fax Number
- 860-347-4691
- Primary Taxonomy
- Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X
- Organization Subpart
- No
- Authorized Official
- Dr. William A. Longo, MD · President · 860-347-2608
- Provider Enumeration Date
- January 22, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 520 Saybrook Road
Suite S100
Middletown, CT 06457 - City
- Middletown
- State
- Connecticut
- Zip
- 06457
- Phone Number
- 860-346-2608
- Fax Number
- 860-347-4691
Provider Business Mailing Address Details
- Address
- 520 Saybrook Road
Suite S100
Middletown, CT 06457 - City
- Middletown
- State
- CT
- Zip
- 06457
- Phone Number
- 860-346-2608
- Fax Number
- 860-347-4691
License Information
- License Number (1)
- 45609
- License State (1)
- CT
- Taxonomy (1)
- Surgery · 208600000X
- License Number (2)
- 45609
- License State (2)
- CT
- License Number (3)
- 45609
- License State (3)
- CT
- Taxonomy (3)
- Surgery, Surgical Oncology · 2086X0206X
- License Number (4)
- 45609
- License State (4)
- CT
- Taxonomy (4)
- Colon & Rectal Surgery · 208C00000X
- License Number (5)
- 45609
- License State (5)
- CT
- Taxonomy (5)
- Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Middletown Surgical Group, Prof Corp?
The NPI number of Middletown Surgical Group, Prof Corp is 1184777054. It was assigned on January 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Middletown Surgical Group, Prof Corp?
Middletown Surgical Group, Prof Corp is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in CT under license number 45609.
Where does Middletown Surgical Group, Prof Corp practice?
The practice location is 520 Saybrook Road, Suite S100, Middletown, CT 06457. The office can be reached at 860-346-2608 (phone) or 860-347-4691 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184777054 directly on the NPPES registry website.