Organization
FLYTE MEDICAL OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BASS (COO)
(415) 710-7775
Entity
Organization
Contact information
Practice address
69 GROVE ST, NEW CANAAN, CT 06840-5325
(844) 359-8363
Mailing address
1204 MAIN ST STE 576, BRANFORD, CT 06405-3787
(844) 359-8363
(833) 929-3520
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
08/29/2024
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