| NPI | 1689877995 |
|---|---|
| Former Legal Business Name | N/A |
| Former Legal Business Name | MIDSTATE NEPHROLOGY ASSOCIATES PC |
| Entity Type | Organization |
| Authorized Contact | SOFIA GUZMAN Manager 860-344-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-01-05 |