Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wesleyan University

Organization Family Medicine Physician · NPI 1194104224

Wesleyan University is a Family Medicine Physician in Middletown, Connecticut. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

237 High St
Middletown, CT 06459-0850
Phone: (860) 685-3068
Fax: (972) 367-3451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X

Record details

NPI number1194104224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Weslyan Sports Medicine
NPI enumeratedMay 21, 2015
Last updated in NPPESMay 21, 2015
Mailing addressPo Box 650850, Dallas, TX 75265-0850

Other providers in Middletown