Healthcare Provider Details

I. General information

NPI: 1932421526
Provider Name (Legal Business Name): REDWOOD WELLNESS PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2010
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 DANBURY RD SUITE 1D
WILTON CT
06897-4423
US

IV. Provider business mailing address

88 DANBURY RD SUITE 1D
WILTON CT
06897-4423
US

V. Phone/Fax

Practice location:
  • Phone: 203-504-9231
  • Fax:
Mailing address:
  • Phone: 203-504-9231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTIAN FRANK
Title or Position: PRESIDENT
Credential: M.SC.
Phone: 203-504-9231