NPI 1639005846 · live from the CMS NPI Registry
Aesthetic Antidote LLC
Family Medicine in Middlefield, CT. National Provider Identifier 1639005846, active.
NPI record
| NPI | 1639005846 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 271 Baileyville Rd, Middlefield, CT 06455 |
| Practice phone | 203-903-3513 |
| Mailing address | 181 Madison Rd, Durham, CT 06422 |
| Enumerated | June 23, 2026 |
| Last updated | June 23, 2026 |
| Authorized official | Francis Ruiz, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.