# FAIRFIELD ALTERNATIVE HEALTH AND MEDICINE, LLC

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

## Provider details

- **NPI number:** 1316311988
- **Authorized official:** JAHON LEE ND (NATUROPATH PHYSICIAN)
- **Authorized official phone:** (616) 796-5209

## Contact information

- **Practice address:** 630 BROOKLAWN AVE, BRIDGEPORT, CT 06604-1528
- **Practice address phone:** (616) 796-5209
- **Practice address fax:** (203) 612-8634
- **Mailing address:** 1019 MAIN ST, SUITE 197, BRIDGEPORT, CT 06604-4221
- **Mailing address phone:** (616) 796-5209
- **Mailing address fax:** (203) 612-8634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175F00000X | Naturopath | 000543 | CT | Yes |

## Other

- **Enumeration date:** 11/19/2015
- **Last updated:** 11/19/2015