Organization
FAIRFIELD ALTERNATIVE HEALTH AND MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAHON LEE ND (ATTENDING PHYSICIAN)
(203) 689-2450
Entity
Organization
Contact information
Practice address
630 BROOKLAWN AVE, BRIDGEPORT, CT 06604-1528
(203) 612-7600
Mailing address
1019 MAIN ST SUITE 197, BRIDGEPORT, CT 06604
(203) 689-2450
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000543
CT
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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