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1881956514
MID STATE MD, LLC
MIDDLETOWN, CT
NPI
1881956514
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Entity Type
Organization
Authorized Contact
JOHN J BORKOWSKI
Member
860-346-8657
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: CT 18705)
Enumeration Date
2012-06-08
Last Update Date
2012-06-08
Business Address
MID STATE MD, LLC
85 CHURCH ST STE 500
MIDDLETOWN, CT 06457-3647
Phone number: 860-346-8657
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Mailing Address
MID STATE MD, LLC
85 CHURCH ST STE 500
MIDDLETOWN, CT 06457-3647
Phone number: 860-346-8657
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