MEDICARE: HEALTHY WAYS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133NN1002X	Nutrition Education Nutritionist
2	171100000X	Acupuncturist
3	175F00000X	Naturopath

General Provider Information

NPI Number	:	1518264522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY WAYS LLC

Provider Business Mailing Address
First Line	:	38B GROVE ST
Second Line	:	UNIT L-B
City	:	RIDGEFIELD
State	:	CT
Zip	:	06877-4665
Country	:	US
Telephone Number	:	203-431-1942
Fax Number	:	203-431-2688

Provider Business Practice Location Address
First Line	:	38B GROVE ST
Second Line	:	UNIT L-B
City	:	RIDGEFIELD
State	:	CT
Zip	:	06877-4665
Country	:	US
Telephone Number	:	203-431-1942
Fax Number	:	203-431-2688

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TSVETOSLAV GLOUZGAL
Credential	:
Telephone Number	:	203-431-1942

Provider Enumeration Date	:	02/28/2011
Last Update Date	:	02/28/2011

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Directions to “HEALTHY WAYS LLC ” Practice Location

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