Organization
APPLESEED PEDIATRIC AND ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE LYNN KYCIA PA-C (OWNER)
(860) 558-3177
Entity
Organization
Contact information
Practice address
80 E MAIN ST, MIDDLETOWN, CT 06457-3840
(860) 200-1465
(860) 200-3378
Mailing address
80 E MAIN ST, MIDDLETOWN, CT 06457-3840
(860) 200-1465
(860) 200-3378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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