| The Weight Loss & Diabetes Center | |
|
1600 Congress St Suite C Portland ME 04102-2143 | |
| (207) 699-4225 | |
| Not Available |
| Full Name | The Weight Loss & Diabetes Center |
|---|---|
| Speciality | Nurse Practitioner - Acute Care |
| Location | 1600 Congress St, Portland, Maine |
| Authorized Official Name and Position | Christopher John Mosunic (OWNER) |
| Authorized Official Contact | 2076994225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Weight Loss & Diabetes Center 1600 Congress St Suite C Portland ME 04102-2143 Ph: (207) 699-4225 | The Weight Loss & Diabetes Center 1600 Congress St Suite C Portland ME 04102-2143 Ph: (207) 699-4225 |
| NPI Number | 1518401181 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518401181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS1438 (Maine) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | CNP141070 (Maine) | Primary |
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