Organization
MIDSTATE NEPHROLOGY ASSOCIATES PC
Active
Other names
n/a, Midstate Nephrology Associates PC
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA GUZMAN (MANAGER)
(860) 344-8606
Entity
Organization
Contact information
Practice address
535 SAYBROOK RD STE 5, MIDDLETOWN, CT 06457-4743
(860) 344-8606
(860) 344-8963
Mailing address
535 SAYBROOK RD STE 5, MIDDLETOWN, CT 06457-4743
(860) 344-8606
(860) 344-8963
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4064721
—
CT
Enumeration date
06/06/2007
Last updated
01/05/2024
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