NPI 1881956514

Mid State MD, LLC

Organisation Plastic Surgery Physician Middletown, CT

Practice location

Address: 85 Church St STE 500, Middletown, CT 06457-3647
Phone: (860) 346-8657
Fax: (860) 347-9554

Authorised official

Name: John J Borkowski
Title: Member
Phone: (860) 346-8657

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 18705 (CT)

Other Plastic Surgery providers in Connecticut →

Registry record

NPI: 1881956514
Entity type: Organization
NPI issued: 8 Jun 2012
Record last updated: 8 Jun 2012

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.