# AESTHETIC ANTIDOTE LLC

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

## Provider details

- **NPI number:** 1639005846
- **Authorized official:** DR. FRANCIS RUIZ MD (OWNER)
- **Authorized official phone:** (203) 903-3513

## Contact information

- **Practice address:** 271 BAILEYVILLE RD, MIDDLEFIELD, CT 06455-1014
- **Practice address phone:** (203) 903-3513
- **Mailing address:** 181 MADISON RD, DURHAM, CT 06422-2910
- **Mailing address phone:** (203) 903-3513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2026
- **Last updated:** 06/23/2026