# MIDDLESEX DIABETES & ENDOCRINOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538469499
- **Authorized official:** KORT CHRISTOPHER KNUDSON MD (PRESIDENT/DIRECTOR)
- **Authorized official phone:** (860) 346-3308

## Contact information

- **Practice address:** 540 SAYBROOK RD, SUITE 150, MIDDLETOWN, CT 06457-4711
- **Practice address phone:** (860) 346-3308
- **Practice address fax:** (860) 346-3349
- **Mailing address:** 540 SAYBROOK RD, SUITE 150, MIDDLETOWN, CT 06457-4711
- **Mailing address phone:** (860) 346-3308
- **Mailing address fax:** (860) 346-3349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 020696 | CT | Yes |

## Other

- **Enumeration date:** 10/26/2010
- **Last updated:** 10/26/2010