Organization
SHALVA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN M LEWIS ND (MEDICAL DIRECTOR)
(203) 916-4600
Entity
Organization
Contact information
Practice address
8 LINCOLN ST, WESTPORT, CT 06880-4201
(203) 916-4600
Mailing address
PO BOX 4065, MONROE, CT 06468-4065
(203) 916-4600
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
493
CT
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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