# WELLNESS STAMFORD, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083198196
- **Authorized official:** PETER DAUGAVIETIS (OWNER)
- **Authorized official phone:** (646) 894-3881

## Contact information

- **Practice address:** 75 TRESSER BLVD, STAMFORD, CT 06901-3329
- **Practice address phone:** (646) 894-3881
- **Mailing address:** 70 DANBURY RD, WILTON, CT 06897-4408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2018
- **Last updated:** 09/24/2018