Weslyan Sports Medicine | |
237 High St Middletown CT 06459-0850 | |
(860) 685-3068 | |
(972) 367-3451 |
Full Name | Weslyan Sports Medicine |
---|---|
Speciality | Family Medicine |
Location | 237 High St, Middletown, Connecticut |
Authorized Official Name and Position | Mouzon Bass (AGENT) |
Authorized Official Contact | 9723674845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Weslyan Sports Medicine Po Box 650850 Dallas TX 75265-0850 Ph: (800) 555-9073 | Weslyan Sports Medicine 237 High St Middletown CT 06459-0850 Ph: (860) 685-3068 |
NPI Number | 1194104224 |
---|---|
Provider Enumeration Date | 05/21/2015 |
Last Update Date | 05/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194104224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
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