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Organization
MIDDLETOWN SURGICAL GROUP, PROF CORP
Active
Organization
MIDDLETOWN SURGICAL GROUP, PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A. LONGO M.D. (PRESIDENT)
(860) 347-2608
Entity
Organization
Contact information
Practice address
520 SAYBROOK ROAD, SUITE S100, MIDDLETOWN, CT 06457
(860) 346-2608
(860) 347-4691
Mailing address
520 SAYBROOK ROAD, SUITE S100, MIDDLETOWN, CT 06457
(860) 346-2608
(860) 347-4691
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
45609
CT
2086S0129X
Vascular Surgery Physician
45609
CT
2086X0206X
Surgical Oncology Physician
45609
CT
208C00000X
Colon & Rectal Surgery Physician
45609
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
45609
CT
Other
Enumeration date
01/22/2007
Last updated
09/11/2025
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