| Prime Weight Loss Llc | |
|
2 Independence Cir Southbury CT 06488-3001 | |
| (475) 777-6912 | |
| Not Available |
| Full Name | Prime Weight Loss Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Independence Cir, Southbury, Connecticut |
| Authorized Official Name and Position | Emir Khattak (MANAGER) |
| Authorized Official Contact | 4699154211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Weight Loss Llc 2 Independence Cir Southbury CT 06488-3001 Ph: (475) 777-6912 | Prime Weight Loss Llc 2 Independence Cir Southbury CT 06488-3001 Ph: (475) 777-6912 |
| NPI Number | 1356182430 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 06/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356182430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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