Organization
INDIGO WELLNESS GROUP LLC
Active
Other names
Fairfield Family Acupuncture LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH SWANBERG LAC (OWNER/ ACUPUNCTURIST)
(203) 658-7850
Entity
Organization
Contact information
Practice address
144 MORGAN ST STE 1, STAMFORD, CT 06905-5433
(203) 658-7850
Mailing address
66 GLENBROOK RD STE 300, STAMFORD, CT 06902-8402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
171100000X
Acupuncturist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679808455
—
NY
05
—
1942680111
—
CT
Enumeration date
02/13/2020
Last updated
12/15/2023
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