Provider First Line Business Practice Location Address:
836 FOXON RD
Provider Second Line Business Practice Location Address:
MEDICAL WEIGHT LOSS CENTER
Provider Business Practice Location Address City Name:
EAST HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-468-9200
Provider Business Practice Location Address Fax Number:
203-468-9661
Provider Enumeration Date:
09/15/2010