Active NPIOrganization

Mid State MD, LLC

Plastic Surgery in Middletown, Connecticut

NPI Number1881956514
Practice location
85 Church St Ste 500, Middletown, CT 06457-3647
Fax
860-347-9554
Last updated
June 8, 2012

Mid State MD, LLC is a healthcare organization based in Middletown, CT. Mid State MD, LLC practices in Middletown, CT. The NPI Number for Mid State MD, LLC is 1881956514 and holds a License No. 18705 (CT). The current practice location address for Mid State MD, LLC is 85 Church St Ste 500, Middletown, CT 06457-3647 and can be reached out via phone at 860-346-8657 and via fax at 860-347-9554.

Provider Profile Details

NPI Number
1881956514
Provider Name
Mid State MD, LLC
Provider Entity Type
Organization
Address
85 Church St Ste 500, Middletown, CT 06457-3647
Phone Number
860-346-8657
Fax Number
860-347-9554
Primary Taxonomy
Plastic Surgery · 208200000X
Organization Subpart
No
Authorized Official
John J Borkowski, MD · Member · 860-346-8657
Provider Enumeration Date
June 8, 2012
Last Update Date
June 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Church St Ste 500
Middletown, CT 06457-3647
Zip
06457-3647
Phone Number
860-346-8657
Fax Number
860-347-9554
Middletown, CT 06457Get directions →

Provider Business Mailing Address Details

Address
85 Church St Ste 500
Middletown, CT 06457-3647
City
Middletown
State
CT
Zip
06457-3647
Phone Number
860-346-8657
Fax Number
860-347-9554

License Information

License Number
18705
License State
CT
Taxonomy
Plastic Surgery · 208200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mid State MD, LLC?

The NPI number of Mid State MD, LLC is 1881956514. It was assigned on June 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Mid State MD, LLC?

Mid State MD, LLC is registered under the primary taxonomy Plastic Surgery (code 208200000X), licensed in CT under license number 18705.

Where does Mid State MD, LLC practice?

The practice location is 85 Church St Ste 500, Middletown, CT 06457-3647. The office can be reached at 860-346-8657 (phone) or 860-347-9554 (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 1881956514 directly on the NPPES registry website.

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