MYSTIC MEDICAL GROUP, PC

MYSTIC, CT
NPI1902891070
Entity TypeOrganization
Authorized ContactTHOMAS MARCH BLUM
President
860-572-8911
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2005-09-15
Last Update Date2009-12-22
Business Address
MYSTIC MEDICAL GROUP, PC
200 SANDY HOLLOW RD
MYSTIC, CT 06355-1720
Phone number: 860-572-8911
Mailing Address
MYSTIC MEDICAL GROUP, PC
200 SANDY HOLLOW RD
MYSTIC, CT 06355-1720
Phone number: 860-572-8911
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