| Medi-weightloss Clinic | |
|
1001 Farmington Ave West Hartford CT 06107-2135 | |
| (860) 213-8365 | |
| Not Available |
| Full Name | Medi-weightloss Clinic |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
Judith M. Mascolo, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 639 Park Rd, Ste 100, West Hartford, CT 06107 Phone: 860-233-4600 Fax: 860-233-4604 | |
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