MID STATE MD, LLC

MIDDLETOWN, CT
NPI1881956514
Entity TypeOrganization
Authorized ContactJOHN J BORKOWSKI
Member
860-346-8657
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: CT  18705)
Enumeration Date2012-06-08
Last Update Date2012-06-08
Business Address
MID STATE MD, LLC
85 CHURCH ST STE 500
MIDDLETOWN, CT 06457-3647
Phone number: 860-346-8657
Mailing Address
MID STATE MD, LLC
85 CHURCH ST STE 500
MIDDLETOWN, CT 06457-3647
Phone number: 860-346-8657