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Contact Information

OPTIMAL WELLNESS OF WEST HARTFORD
1001 FARMINGTON AVE.
WEST HARTFORD, CT06107
 Phone: 860-213-8365
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Bariatric Medicine

207RB0002X 11 Physician/Internal Medicine
 

Bariatric Medicine

207QB0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for OPTIMAL WELLNESS OF WEST HARTFORD

NPI # 1922470939
LBN Legal business name OPTIMAL WELLNESS OF WEST HARTFORD
Authorized official LUIZA PETRE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/29/2015
Last updated 10/29/2015 - About 11 years ago
Identifiers
CT License # 052588
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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