Midstate Medical Group, PC
NPI #1356361315 in Meriden, Connecticut
Provider Information
- NPI Number
- 1356361315
- Entity Type
- Organization
- Organization Name
- Midstate Medical Group, PC
- Primary Specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Apr 9, 2008
Practice Location
- Address
- 435 LEWIS AVENUE
- Address 2
- MIDSTATE MEDICAL GROUP, PC
- City
- Meriden
- State
- Connecticut
- ZIP Code
- 06451
- Phone
- (203) 694-8750
Authorized Official
- Name
- DR. FRED F TILDEN, M.D.
- Title
- OWNER
- Phone
- (203) 694-8750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) |
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