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Dr. John Robert West JR., MD
MOHS-Micrographic Surgery Physician in Mystic, Connecticut
NPI 1487606117

John Robert West JR. is a MOHS-Micrographic Surgery Physician based in Mystic, CT and is specialized in MOHS-Micrographic Surgery. John Robert West JR. practices in Mystic, CT and has the professional credentials of MD. The NPI Number for John Robert West JR. is 1487606117 and holds a License No. G61079 (Connecticut).

The current practice location address for John Robert West JR. is 34 Water Street, Mystic, CT and can be reached out via phone at 860-572-9994 and via fax at 860-572-9930.

Location: 34 Water Street, Mystic, CT, 06355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487606117
Provider Name
John Robert West JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34 Water Street, Mystic, CT, 06355
Phone Number
860-572-9994
Fax Number
860-572-9930
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010044204CT01 01 CT BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
34 Water Street
City
Mystic
State
Connecticut
Zip
06355
Phone Number
860-572-9994
Fax Number
860-572-9930
person
Provider Business Mailing Address Details
Address
34 Water Street
City
Mystic
State
Connecticut
Zip
06355
Phone Number
860-572-9994
Fax Number
860-572-9930
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
G61079 (California)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
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institution
John R. West Md Inc
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MOHS-Micrographic Surgery Physician
34 Water St,
MYSTIC, CT
06355-2524
860-572-9994
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