Fairfield County Health & Wellness Services, Llc | |
325 Reef Rd Suite # 109 Fairfield CT 06824-6537 | |
(203) 955-1822 | |
(203) 955-1823 |
Full Name | Fairfield County Health & Wellness Services, Llc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 325 Reef Rd, Fairfield, Connecticut |
Authorized Official Name and Position | Tasneem Ahmad Khan (PARTNER) |
Authorized Official Contact | 2039809969 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fairfield County Health & Wellness Services, Llc 325 Reef Rd Suite # 109 Fairfield CT 06824-6537 Ph: (203) 955-1822 | Fairfield County Health & Wellness Services, Llc 325 Reef Rd Suite # 109 Fairfield CT 06824-6537 Ph: (203) 955-1822 |
NPI Number | 1528481090 |
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Provider Enumeration Date | 02/03/2014 |
Last Update Date | 02/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528481090 | NPI | - | NPPES |
001340059 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 034005 (Connecticut) | Primary |
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