Healthcare Provider Details

I. General information

NPI: 1235059809
Provider Name (Legal Business Name): NEW LONDON NATURAL HEALTH CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 HEMPSTEAD ST FL 1
NEW LONDON CT
06320-5638
US

IV. Provider business mailing address

154 HEMPSTEAD ST FL 1
NEW LONDON CT
06320-5638
US

V. Phone/Fax

Practice location:
  • Phone: 860-650-1030
  • Fax: 855-869-4891
Mailing address:
  • Phone: 860-650-1030
  • Fax: 855-869-4891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: GWENN ROSENBERG
Title or Position: CLINIC OWNER
Credential: ND
Phone: 860-650-1030