Wesleyan University
NPI #1194104224 in Middletown, Connecticut
Provider Information
- NPI Number
- 1194104224
- Entity Type
- Organization
- Organization Name
- Wesleyan University
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 21, 2015
- Last Updated
- May 21, 2015
Practice Location
- Address
- 237 HIGH ST
- City
- Middletown
- State
- Connecticut
- ZIP Code
- 06459-0850
- Phone
- (860) 685-3068
Authorized Official
- Name
- MOUZON BASS III
- Title
- AGENT
- Phone
- (972) 367-4845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
| Family Medicine |
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