Main Medical-Mystic, LLC
Main Medical-Mystic, LLC is an Internal Medicine Physician in Mystic, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.
- Licensed in
- CT
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
23 Clara Dr Ste 201Mystic, CT 06355-1959
Phone: (860) 536-1666
Fax: (860) 536-9770
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 031865 (CT) |
|---|
Record details
| NPI number | 1003001850 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roy Main — Owner/Physician · (860) 536-1666 |
| NPI enumerated | September 13, 2007 |
| Last updated in NPPES | September 13, 2007 |
| Mailing address | 23 Clara Dr, Suite 201, Mystic, CT 06355-1959 |
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