Provider Demographics
NPI:1891950531
Name:HEALTH & WELLNESS CENTERS OF MILFORD
Entity Type:Organization
Organization Name:HEALTH & WELLNESS CENTERS OF MILFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:RUTKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-283-5707
Mailing Address - Street 1:554 BOSTON POST RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-2677
Mailing Address - Country:US
Mailing Address - Phone:203-283-5707
Mailing Address - Fax:203-283-5708
Practice Address - Street 1:554 BOSTON POST RD
Practice Address - Street 2:SUITE 5
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-2677
Practice Address - Country:US
Practice Address - Phone:203-283-5707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT1081111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty