| Ct Optimal Wellness, Llc | |
| 
					115 Technology Dr Unit A103 Trumbull CT 06611-6338  | |
| (203) 614-1124 | |
| (203) 828-0014 | 
| Full Name | Ct Optimal Wellness, Llc | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 115 Technology Dr Unit A103, Trumbull, Connecticut | 
| Authorized Official Name and Position | Luiza F Petre (OWNER) | 
| Authorized Official Contact | 9175532700 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ct Optimal Wellness, Llc 115 Technology Dr Trumbull CT 06611-6337 Ph: (203) 614-1124  | Ct Optimal Wellness, Llc 115 Technology Dr Unit A103 Trumbull CT 06611-6338 Ph: (203) 614-1124  | 
| NPI Number | 1316405186 | 
|---|---|
| Provider Enumeration Date | 03/11/2019 | 
| Last Update Date | 03/11/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316405186 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary | 
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