Organization
MIDSTATE MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED F TILDEN M.D. (OWNER)
(203) 694-8750
Entity
Organization
Contact information
Practice address
435 LEWIS AVENUE, MIDSTATE MEDICAL GROUP, PC, MERIDEN, CT 06451
(203) 694-8750
Mailing address
435 LEWIS AVENUE, MIDSTATE MEDICAL GROUP, PC, MERIDEN, CT 06451
(203) 694-8750
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
N/A
CT
Other
Enumeration date
07/20/2006
Last updated
04/09/2008
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