Organization
POUNDS MEDICAL WEIGHT LOSS TRANSFORMATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES CAVO D.O. (OWNER)
(860) 906-1732
Entity
Organization
Contact information
Practice address
125 LASALLE RD, STE 208, WEST HARTFORD, CT 06107-2322
(860) 906-1732
(860) 906-1269
Mailing address
125 LASALLE RD, STE 208, WEST HARTFORD, CT 06107-2322
(860) 906-1732
(860) 906-1269
Taxonomy
Speciality
Code
Description
License number
State
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
042274
CT
208000000X
Pediatrics Physician
042274
CT
363L00000X
Nurse Practitioner
042274
CT
Other
Enumeration date
05/24/2013
Last updated
08/25/2015
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