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Organization

SPINE AND PAIN INSTITUTE AT MIDSTATE LLC

Active
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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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