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Organization
THE HOUSE OF VERSAILLES MEDICAL SPA LLC
Active
Organization
THE HOUSE OF VERSAILLES MEDICAL SPA LLC
Active
Other names
Versailles Medical Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COURTNEY ELIZABETH MURRAY (PROJECT MANAGER)
(203) 858-3531
Entity
Organization
Contact information
Practice address
106 NOROTON AVE, DARIEN, CT 06820-5237
(203) 202-7688
Mailing address
106 NOROTON AVE, DARIEN, CT 06820-5237
(203) 202-7688
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
NULL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
NULL
207QA0505X
Adult Medicine Physician
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
01/12/2022
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