Optimal Wellness Of West Hartford
Internal Medicine, Bariatric Medicine in West Hartford, Connecticut
1922470939- Practice location
- 1001 Farmington Ave., West Hartford, CT 06107
- Phone
- 860-213-8365
- Fax
- —
- Last updated
- October 29, 2015
Optimal Wellness Of West Hartford is a healthcare organization based in West Hartford, CT. Optimal Wellness Of West Hartford practices in West Hartford, CT. The NPI Number for Optimal Wellness Of West Hartford is 1922470939 and holds a License No. 052588 (CT). The current practice location address for Optimal Wellness Of West Hartford is 1001 Farmington Ave., West Hartford, CT 06107 and can be reached out via phone at 860-213-8365.
Provider Profile Details
- NPI Number
- 1922470939
- Provider Name
- Optimal Wellness Of West Hartford
- Provider Entity Type
- Organization
- Address
- 1001 Farmington Ave., West Hartford, CT 06107
- Phone Number
- 860-213-8365
- Primary Taxonomy
- Internal Medicine, Bariatric Medicine · 207RB0002X
- Organization Subpart
- No
- Authorized Official
- Luiza Petre, MD · Owner · 917-553-2700
- Other Names
- Medi-Weightloss (Doing Business As)
- Provider Enumeration Date
- October 29, 2015
- Last Update Date
- October 29, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1001 Farmington Ave.
West Hartford, CT 06107 - City
- West Hartford
- State
- Connecticut
- Zip
- 06107
- Phone Number
- 860-213-8365
Provider Business Mailing Address Details
- Address
- 1001 Farmington Ave.
West Hartford, CT 06107 - City
- West Hartford
- State
- CT
- Zip
- 06107
- Phone Number
- 860-213-8365
License Information
- License Number (1)
- 052588
- License State (1)
- CT
- Taxonomy (1)
- Family Medicine, Bariatric Medicine · 207QB0002X
- License Number (2)
- 052588
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine, Bariatric Medicine · 207RB0002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Optimal Wellness Of West Hartford?
The NPI number of Optimal Wellness Of West Hartford is 1922470939. It was assigned on October 29, 2015 and is currently active in the NPPES registry.
What is the specialty of Optimal Wellness Of West Hartford?
Optimal Wellness Of West Hartford is registered under the primary taxonomy Internal Medicine, Bariatric Medicine (code 207RB0002X), licensed in CT under license number 052588.
Where does Optimal Wellness Of West Hartford practice?
The practice location is 1001 Farmington Ave., West Hartford, CT 06107. The office can be reached at 860-213-8365 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922470939 directly on the NPPES registry website.