John R. West MD INC
NPI #1376575324 in Mystic, Connecticut
Provider Information
- NPI Number
- 1376575324
- Entity Type
- Organization
- Organization Name
- John R. West MD INC
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Jul 7, 2006
- Last Updated
- Feb 6, 2013
Practice Location
- Address
- 34 WATER ST
- Address 2
- SUITE 2
- City
- Mystic
- State
- Connecticut
- ZIP Code
- 06355-2524
- Phone
- (860) 572-9994
Authorized Official
- Name
- DR. JOHN ROBERT WEST JR., M.D.
- Title
- PRESIDENT
- Phone
- (860) 572-9994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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