OrganizationActive
Mystic Geriatrics, LLC
NPI 1336167238 · Geriatric Medicine (Family Medicine) Physician · Mystic, CT
Provider details
- NPI number
- 1336167238
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- June Fliri, Manager(860) 536-8882
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Acute Care Nurse Practitioner363LA2100X
Physician Assistants & Advanced Practice Nursing Providers
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3 Heron Rd
Mystic, CT 06355-3253
Phone: (860) 536-5302
Fax: (860) 536-5302
Approximate (ZIP-level) locationGet directions
Mailing address
3 Heron Rd
Mystic, CT 06355-3253
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2015-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.