| Transform Institute For Metabolic & Lifestyle Medicine, Llc | |
|
150 California St Newton MA 02458-1005 | |
| (617) 549-3660 | |
| (617) 395-2603 |
| Full Name | Transform Institute For Metabolic & Lifestyle Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 California St, Newton, Massachusetts |
| Authorized Official Name and Position | Hui-shien Loh (PRESIDENT) |
| Authorized Official Contact | 6175493660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transform Institute For Metabolic & Lifestyle Medicine, Llc 150 California St Newton MA 02458-1005 Ph: (203) 998-5377 | Transform Institute For Metabolic & Lifestyle Medicine, Llc 150 California St Newton MA 02458-1005 Ph: (617) 549-3660 |
| NPI Number | 1700276557 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 04/15/2015 |
| Medicare PECOS PAC ID | 0244550630 |
|---|---|
| Medicare Enrollment ID | O20150527000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700276557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 152351 (Massachusetts) | Secondary |
| 207RB0002X | Internal Medicine - Obesity Medicine | 152351 (Massachusetts) | Primary |
| Provider Name | Hui Shien Loh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619937117 PECOS PAC ID: 8820273113 Enrollment ID: I20110502000439 |
| Provider Name | Irina Skurlatova Maysky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952303745 PECOS PAC ID: 8628236601 Enrollment ID: I20120222000276 |
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