# MIDDLESEX HOSP DBA THORACIC SURG/OBGYN ONOCOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDDLESEX HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023305455
- **Legal business name:** MIDDLESEX HOSPITAL
- **Authorized official:** VINCENT G CAPECE JR. (CEO/PRESIDENT)
- **Authorized official phone:** (860) 358-6110

## Contact information

- **Practice address:** 540 SAYBROOK RD STE 180, MIDDLETOWN, CT 06457-4759
- **Practice address phone:** (860) 358-2780
- **Practice address fax:** (860) 358-2781
- **Mailing address:** 28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
- **Mailing address phone:** (860) 358-2780
- **Mailing address fax:** (860) 358-2781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0201X | Gynecologic Oncology Physician | 23646 | CT | — |
| 2086X0206X | Surgical Oncology Physician | 44328 | CT | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 33511 | CT | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 48090 | CT | — |

## Other

- **Enumeration date:** 07/06/2011
- **Last updated:** 10/25/2013