Organization
PRIMARY CARE OF MYSTIC PC
Active
Organization
PRIMARY CARE OF MYSTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS C IOVINO D.O. (OWNER / PHYSICIAN)
(757) 753-0010
Entity
Organization
Contact information
Practice address
41 E MAIN ST, MYSTIC, CT 06355-2831
(860) 572-2988
Mailing address
41 E MAIN ST, MYSTIC, CT 06355-2831
(860) 572-2988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
046497
CT
207R00000X
Internal Medicine Physician
046497
CT
207R00000X
Internal Medicine Physician
Primary
047587
CT
207R00000X
Internal Medicine Physician
DO00649
RI
Other
Enumeration date
07/18/2009
Last updated
02/16/2010
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