Organization
THE WEIGHT LOSS & DIABETES CENTER, LLC
Active
Other names
The Weight Loss & Diabetes Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JOHN MOSUNIC PHD (OWNER)
(207) 699-4225
Entity
Organization
Contact information
Practice address
1600 CONGRESS ST, SUITE C, PORTLAND, ME 04102-2143
(207) 699-4225
Mailing address
1600 CONGRESS ST, SUITE C, PORTLAND, ME 04102-2143
(207) 699-4225
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS1438
ME
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP141070
ME
Other
Enumeration date
12/15/2016
Last updated
02/28/2017
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