Organization
SPINE AND PAIN INSTITUTE AT MIDSTATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KOST MD (OWNER)
(860) 696-2843
Entity
Organization
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(860) 696-2843
(860) 696-2840
Mailing address
PO BOX 443, FARMINGTON, CT 06034-0443
(860) 696-2843
(860) 696-2840
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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