Whalio Doctors

NPI 1356571814

Primary Care of Mystic PC

Organisation Internal Medicine Physician Mystic, CT

Practice location

Address
41 E Main St, Mystic, CT 06355-2831
Phone
(860) 572-2988

Authorised official

Name
Louis C Iovino
Title
Owner / Physician
Phone
(757) 753-0010

Registered specialties (4)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 047587 (CT)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 046497 (CT)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence DO00649 (RI)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 046497 (CT)

Registry record

NPI
1356571814
Entity type
Organization
NPI issued
18 Jul 2009
Record last updated
16 Feb 2010

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.