Mystic Medical Associates LLC
NPI #1972954477 in Mystic, Connecticut
Provider Information
- NPI Number
- 1972954477
- Entity Type
- Organization
- Organization Name
- Mystic Medical Associates LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 27, 2016
- Last Updated
- Mar 21, 2024
Practice Location
- Address
- 12 ROOSEVELT AVE
- Address 2
- SECOND FLOOR
- City
- Mystic
- State
- Connecticut
- ZIP Code
- 06355-2809
- Phone
- (860) 245-4126
Authorized Official
- Name
- CHRISTOPHER J ANDERSON, MSN FNP-C
- Title
- APRN
- Phone
- (860) 245-4126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Clinic/Center - Primary Care — Primary Care |
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