Organization
MID STATE MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J BORKOWSKI M.D. (MEMBER)
(860) 346-8657
Entity
Organization
Contact information
Practice address
85 CHURCH ST STE 500, MIDDLETOWN, CT 06457-3647
(860) 346-8657
(860) 347-9554
Mailing address
85 CHURCH ST STE 500, MIDDLETOWN, CT 06457-3647
(860) 346-8657
(860) 347-9554
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
18705
CT
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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