IndividualActive
John West, M.D.
NPI 1487606117 · MOHS-Micrographic Surgery Physician · Mystic, CT
Provider details
- NPI number
- 1487606117
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G61079 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
34 Water Street
Suite 2
Mystic, CT 06355
Phone: (860) 572-9994
Fax: (860) 572-9930
Approximate (ZIP-level) locationGet directions
Mailing address
34 Water Street
Mystic, CT 06355
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2014-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.