Provider Demographics
NPI:1326469024
Name:SUGATI HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:SUGATI HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:RITZ
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:860-281-7489
Mailing Address - Street 1:37 W TOWN ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:CT
Mailing Address - Zip Code:06249-1536
Mailing Address - Country:US
Mailing Address - Phone:860-281-7489
Mailing Address - Fax:860-642-4740
Practice Address - Street 1:37 W TOWN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:CT
Practice Address - Zip Code:06249-1536
Practice Address - Country:US
Practice Address - Phone:860-281-7489
Practice Address - Fax:860-642-4740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT00482261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service