| Mystic Medical Group, Pc | |
|
200 Sandy Hollow Rd Mystic CT 06355-1720 | |
| (860) 572-8911 | |
| (860) 572-7758 |
| Full Name | Mystic Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Sandy Hollow Rd, Mystic, Connecticut |
| Authorized Official Name and Position | Thomas March Blum (PRESIDENT) |
| Authorized Official Contact | 8605728911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mystic Medical Group, Pc 200 Sandy Hollow Rd Mystic CT 06355-1720 Ph: (860) 572-8911 | Mystic Medical Group, Pc 200 Sandy Hollow Rd Mystic CT 06355-1720 Ph: (860) 572-8911 |
| NPI Number | 1902891070 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 12/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902891070 | NPI | - | NPPES |
| 004002861 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Main Medical-mystic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Clara Dr, Suite 201, Mystic, CT 06355 Phone: 860-536-1666 Fax: 860-536-9770 | |
David Schwindt Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23 Clara Drive, Suite 204, Mystic, CT 06355 Phone: 860-572-0010 Fax: 860-536-2799 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Fishtown Rd, Mystic, CT 06355 Phone: 860-980-8330 Fax: 860-980-8330 | |
Mystic Geriatrics, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 Heron Rd, Mystic, CT 06355 Phone: 860-536-5302 Fax: 860-536-5302 | |
Primary Care Of Mystic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 E Main St, Mystic, CT 06355 Phone: 860-572-2988 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Mistuxet Ave, Mystic, CT 06355 Phone: 860-536-8613 | |
Child And Family Agency Of Southeastern Connecticut Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Oslo St, Mystic, CT 06355 Phone: 860-437-4550 Fax: 860-661-4262 |