Organization
BODY LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GERARD ALLEVA MLT (OWNER)
(860) 616-8549
Entity
Organization
Contact information
Practice address
300 ALUMNI RD FL 2, NEWINGTON, CT 06111-1868
(860) 578-8020
Mailing address
66 GATES FARM RD, GLASTONBURY, CT 06033-3219
(860) 616-8549
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
04/01/2025
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