Medi-weightloss Clinic | |
1001 Farmington Ave West Hartford CT 06107-2135 | |
(860) 213-8365 | |
Not Available |
Full Name | Medi-weightloss Clinic |
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Speciality | Family Medicine - Obesity Medicine |
Location | 1001 Farmington Ave, West Hartford, Connecticut |
Authorized Official Name and Position | Luiza F Petre (OWNER) |
Authorized Official Contact | 2125532700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medi-weightloss Clinic 1001 Farmington Ave West Hartford CT 06107-2135 Ph: (860) 213-8365 | Medi-weightloss Clinic 1001 Farmington Ave West Hartford CT 06107-2135 Ph: (860) 213-8365 |
NPI Number | 1497127260 |
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Provider Enumeration Date | 10/20/2015 |
Last Update Date | 10/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497127260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QB0002X | Family Medicine - Obesity Medicine | 207Q00000X (Connecticut) | Primary |
207RB0002X | Internal Medicine - Obesity Medicine | 207R00000X (* (Not Available)) | Secondary |
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