| NPI | 1265191266 |
|---|---|
| Doing Business As | VERSAILLES MEDICAL SPA |
| Entity Type | Organization |
| Authorized Contact | COURTNEY ELIZABETH MURRAY Project Manager 203-858-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 207KA0200X Allergy & Immunology, Allergy | |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2022-01-12 |