Provider Demographics
NPI:1932421526
Name:REDWOOD WELLNESS PARTNERS LLC
Entity Type:Organization
Organization Name:REDWOOD WELLNESS PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:MSC
Authorized Official - Phone:203-504-9231
Mailing Address - Street 1:88 DANBURY RD
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-4423
Mailing Address - Country:US
Mailing Address - Phone:203-504-9231
Mailing Address - Fax:
Practice Address - Street 1:88 DANBURY RD
Practice Address - Street 2:SUITE 1D
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4423
Practice Address - Country:US
Practice Address - Phone:203-504-9231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty