Connecticut Weight & Wellness, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

027790 Issued in CT

Legal business name

CONNECTICUT WEIGHT & WELLNESS, LLC

Practice address

2285 Whitney Ave
Hamden, CT 06518-3514

Phone

(203) 848-2491

Fax

(203) 848-2492

NPI assigned

Nov 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jack Hauser, MD

Title

Medical Director, Owner

Phone

(203) 848-2491

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1194970947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183514",
            "telephone_number": "203-848-2491",
            "fax_number": "203-848-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183514",
            "telephone_number": "203-848-2491",
            "fax_number": "203-848-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT WEIGHT & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, OWNER",
        "authorized_official_telephone_number": "203-848-2491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CT",
            "license": "027790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Hamden, CT
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• Health Maintenance Organization in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.