Organization
FLYTE MEDICAL PC
Active
Organization
FLYTE MEDICAL 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
(646) 397-0208
Mailing address
69 GROVE ST, NEW CANAAN, CT 06840-5325
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/11/2021
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