Aesthetic Antidote LLC
Family Medicine in Middlefield, Connecticut
1639005846- Practice location
- 271 Baileyville RD, Middlefield, CT 06455-1014
- Phone
- 203-903-3513
- Fax
- —
- Last updated
- June 23, 2026
Aesthetic Antidote LLC is a healthcare organization based in Middlefield, CT. Aesthetic Antidote LLC practices in Middlefield, CT. The NPI Number for Aesthetic Antidote LLC is 1639005846. The current practice location address for Aesthetic Antidote LLC is 271 Baileyville RD, Middlefield, CT 06455-1014 and can be reached out via phone at 203-903-3513.
Provider Profile Details
- NPI Number
- 1639005846
- Provider Name
- Aesthetic Antidote LLC
- Provider Entity Type
- Organization
- Address
- 271 Baileyville RD, Middlefield, CT 06455-1014
- Phone Number
- 203-903-3513
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Francis Ruiz, MD · Owner · 203-903-3513
- Provider Enumeration Date
- June 23, 2026
- Last Update Date
- June 23, 2026
- Certification Date
- June 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 271 Baileyville RD
Middlefield, CT 06455-1014 - City
- Middlefield
- State
- Connecticut
- Zip
- 06455-1014
- Phone Number
- 203-903-3513
Provider Business Mailing Address Details
- Address
- 181 Madison RD
Durham, CT 06422-2910 - City
- Durham
- State
- CT
- Zip
- 06422-2910
- Phone Number
- 203-903-3513
License Information
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Middlefield, CT
View all Family Medicine providers in Middlefield →Frequently Asked Questions
What is the NPI number of Aesthetic Antidote LLC?
The NPI number of Aesthetic Antidote LLC is 1639005846. It was assigned on June 23, 2026 and is currently active in the NPPES registry.
What is the specialty of Aesthetic Antidote LLC?
Aesthetic Antidote LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Aesthetic Antidote LLC practice?
The practice location is 271 Baileyville RD, Middlefield, CT 06455-1014. The office can be reached at 203-903-3513 (phone).
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 1639005846 directly on the NPPES registry website.