Organization
POUNDS MEDICAL WEIGHT LOSS TRANSFORMATION PC
Active
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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