# WELLNESS NORWALK, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medi-Weightloss Clinic of Wilton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487026332
- **Authorized official:** PETER B DAUGAVIETIS (PRESIDENT)
- **Authorized official phone:** (646) 894-3881

## Contact information

- **Practice address:** 70 DANBURY RD, WILTON, CT 06897-4408
- **Practice address phone:** (203) 349-6334
- **Mailing address:** 70 DANBURY RD, WILTON, CT 06897-4408
- **Mailing address phone:** (203) 349-6334

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2015
- **Last updated:** 10/29/2015