Organization
WELLNESS STAMFORD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER DAUGAVIETIS (OWNER)
(646) 894-3881
Entity
Organization
Contact information
Practice address
75 TRESSER BLVD, STAMFORD, CT 06901-3329
(646) 894-3881
Mailing address
70 DANBURY RD, WILTON, CT 06897-4408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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