institution
Mystic Medical Associates Llc
Primary Care Clinic/Center in Mystic, Connecticut
NPI 1972954477

Mystic Medical Associates Llc is a Primary Care Clinic/Center based in Groton, CT and is specialized in Primary Care. Mystic Medical Associates Llc practices in Mystic, CT. The NPI Number for Mystic Medical Associates Llc is 1972954477 and holds a License No. (Connecticut).

The current practice location address for Mystic Medical Associates Llc is 12 Roosevelt Ave, Mystic, CT and can be reached out via phone at 860-245-4126 and via fax at 860-245-4128.

Location: 12 Roosevelt Ave, Mystic, CT, 06340-6229
institution
Provider Profile Details
NPI Number
1972954477
Provider Name
Mystic Medical Associates Llc
Credential
Provider Entity Type
Organization
Address
12 Roosevelt Ave, Mystic, CT, 06340-6229
Phone Number
860-245-4126
Fax Number
860-245-4128
Provider Enumeration Date
06/27/2016
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
12 Roosevelt Ave
City
State
Zip
06355-2809
Phone Number
860-245-4126
Fax Number
860-245-4128
person
Provider Business Mailing Address Details
Address
12 Roosevelt Ave
City
State
Zip
06355-2809
Phone Number
860-245-4126
Fax Number
860-245-4128
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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