| Medi-weightloss | |
|
1001 Farmington Ave. West Hartford CT 06107 | |
| (860) 213-8365 | |
| Not Available |
| Full Name | Medi-weightloss |
|---|---|
| Speciality | Internal Medicine - Obesity Medicine |
| Location | 1001 Farmington Ave., West Hartford, Connecticut |
| Authorized Official Name and Position | Luiza Petre (OWNER) |
| Authorized Official Contact | 9175532700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi-weightloss 1001 Farmington Ave. West Hartford CT 06107 Ph: (860) 213-8365 | Medi-weightloss 1001 Farmington Ave. West Hartford CT 06107 Ph: (860) 213-8365 |
| NPI Number | 1922470939 |
|---|---|
| Provider Enumeration Date | 10/29/2015 |
| Last Update Date | 10/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922470939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | 052588 (Connecticut) | Secondary |
| 207RB0002X | Internal Medicine - Obesity Medicine | 052588 (Connecticut) | Primary |
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