Prime Weight Loss LLC

NPI #1356182430 in Southbury, Connecticut

Provider Information

NPI Number: 1356182430
Entity Type: Organization
Organization Name: Prime Weight Loss LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 4, 2024
Last Updated: Jun 4, 2024

Practice Location

Address: 2 INDEPENDENCE CIR
City: Southbury
State: Connecticut
ZIP Code: 06488-3001
Phone: (475) 777-6912

Authorized Official

Name: EMIR KHATTAK
Title: MANAGER
Phone: (469) 915-4211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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