Organization
MIDDLESEX LABORATORY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN D LEVINE M.D. (PRESIDENT)
(860) 358-6160
Entity
Organization
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6160
Mailing address
PO BOX 1613, NEW HAVEN, CT 06506-1613
(860) 358-6160
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
CT
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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