Healthcare Provider Details

I. General information

NPI: 1902715402
Provider Name (Legal Business Name): RESTORE HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 KINGS HWY E STE 103
FAIRFIELD CT
06825-4885
US

IV. Provider business mailing address

501 KINGS HWY E STE 103
FAIRFIELD CT
06825-4885
US

V. Phone/Fax

Practice location:
  • Phone: 203-760-5544
  • Fax:
Mailing address:
  • Phone: 203-760-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL DUBEN
Title or Position: OWNER
Credential: MD
Phone: 203-760-5544