MYSTIC MEDICAL GROUP, PC
NPI 1902891070
Internal Medicine in Mystic, CT

Q: What is Mystic Medical Group, PC's NPI number?

The NPI number for Mystic Medical Group, PC is 1902891070. It was assigned to this organization in the NPPES registry on September 15, 2005.

Q: What is Mystic Medical Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 15, 2005

200 SANDY HOLLOW RD, MYSTIC, CT 06355(860) 572-8911(860) 572-7758 Get Directions Write a Review

NPPES record last updated: December 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mystic Medical Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYSTIC MEDICAL GROUP, PC (NPI 1902891070) is a healthcare organization registered as an internal medicine in Mystic, Connecticut and active in the NPI registry since September 2005. The organization lists Thomas March Blum, President, as its authorized official.

NPPES Registry Identity

NPI1902891070

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMYSTIC MEDICAL GROUP, PC

Location Address200 SANDY HOLLOW RDMystic, CT 06355-1720

Mailing Address200 Sandy Hollow RdMystic, CT 06355-1720 · (860) 572-8911 · Fax (860) 572-7758

Phone(860) 572-8911

Fax(860) 572-7758

Organization SubpartNo

Authorized OfficialThomas March BlumPresident · (860) 572-8911

Enumeration DateSeptember 15, 2005

Last NPPES UpdateDecember 22, 2009

✔ NPI 1902891070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

200 SANDY HOLLOW RD, Mystic, CT 06355

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Other Identifiers 2

Medicare PINC00362CT

Medicaid004002861CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS MARCH BLUM M.D.

Internal Medicine