Organization
MIDDLESEX HOSP DBA THORACIC SURG/OBGYN ONOCOLOGY
Active
Parent organization
MIDDLESEX HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLESEX HOSPITAL
Authorized official
VINCENT G CAPECE JR. (CEO/PRESIDENT)
(860) 358-6110
Entity
Organization
Contact information
Practice address
540 SAYBROOK RD STE 180, MIDDLETOWN, CT 06457-4759
(860) 358-2780
(860) 358-2781
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-2780
(860) 358-2781
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
23646
CT
2086X0206X
Surgical Oncology Physician
44328
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
33511
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
48090
CT
Other
Enumeration date
07/06/2011
Last updated
10/25/2013
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