| NPI | 1730555053 |
|---|---|
| Doing Business As | MEDI WEIGHTLOSS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KRASSNER Principal 860-249-8659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2016-05-10 |