Organization
MIDSTATE GASTROENTEROLOGY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M. SACK MD (PRESIDENT)
(203) 237-2477
Entity
Organization
Contact information
Practice address
455 LEWIS AVE, SUITE 105, MERIDEN, CT 06451-2121
(203) 237-2477
(203) 238-1839
Mailing address
455 LEWIS AVE, SUITE 105, MERIDEN, CT 06451-2121
(203) 237-2477
(203) 238-1839
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
027392
CT
Other
Enumeration date
07/25/2006
Last updated
09/04/2007
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