| Aesthetic Antidote Llc | |
|
271 Baileyville Rd Middlefield CT 06455-1014 | |
| (203) 903-3513 | |
| Not Available |
| Full Name | Aesthetic Antidote Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 271 Baileyville Rd, Middlefield, Connecticut |
| Authorized Official Name and Position | Francis Ruiz (OWNER) |
| Authorized Official Contact | 2039033513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Antidote Llc 181 Madison Rd Durham CT 06422-2910 Ph: (203) 903-3513 | Aesthetic Antidote Llc 271 Baileyville Rd Middlefield CT 06455-1014 Ph: (203) 903-3513 |
| NPI Number | 1639005846 |
|---|---|
| Provider Enumeration Date | 06/23/2026 |
| Last Update Date | 06/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639005846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Smartvision Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Way Rd, Middlefield, CT 06455 Phone: 860-349-7012 |