NPI 1174801898

Middlesex Plastic Surgery Center,llc

Organisation Plastic Surgery Physician Middletown, CT

Practice location

Address: 535 Saybrook Rd, Middletown, CT 06457-4743
Phone: (860) 343-0122
Fax: (860) 347-2212

Authorised official

Name: Mari Rebane-Mazzotta
Title: Physician/Owner
Phone: (860) 343-0122

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 049437 (CT)

Other Plastic Surgery providers in Connecticut →

Registry record

NPI: 1174801898
Entity type: Organization
NPI issued: 29 Jul 2011
Record last updated: 29 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.