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Organization

OSTEOPATHIC WELLNESS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID L JOHNSTON DO (OWNER)
(203) 438-9915
Entity
Organization

Contact information

Practice address
158 DANBURY RD, SUITE 6, RIDGEFIELD, CT 06877-3227
(203) 438-9915
(203) 431-4414
Mailing address
158 DANBURY RD, SUITE 6, RIDGEFIELD, CT 06877-3227
(203) 438-9915
(203) 431-4414

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
000523
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040000523CT02
ANTHEM BCBS
CT
Enumeration date
01/14/2010
Last updated
09/06/2012
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