Organization
MIDDLESEX DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC THOMAS M.D. (PHYSICIAN OWNER)
(860) 347-4555
Entity
Organization
Contact information
Practice address
11 S MAIN ST, MIDDLETOWN, CT 06457-3656
(860) 347-4555
Mailing address
11 S MAIN ST, MIDDLETOWN, CT 06457-3656
(860) 347-4555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
16529
CT
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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