Provider Demographics
NPI:1225827579
Name:HEALTH AND WELLNESS OF FAIRFIELD CT
Entity type:Organization
Organization Name:HEALTH AND WELLNESS OF FAIRFIELD CT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-804-4050
Mailing Address - Street 1:14 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-8009
Mailing Address - Country:US
Mailing Address - Phone:203-804-4050
Mailing Address - Fax:203-804-4050
Practice Address - Street 1:55 WALLS DR STE 307
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5179
Practice Address - Country:US
Practice Address - Phone:203-804-4050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty