NPI 1003611187

Reverse Time Wellness INC

Organisation Family Medicine Physician Stamford, CT

Practice location

Address: 1086 Long Ridge Rd, Stamford, CT 06903-4404
Phone: (203) 274-7426
Fax: (203) 274-7426

Authorised official

Name: Neishelle Walcott
Title: President
Phone: (203) 274-7426

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Connecticut →

Emergency Medical Services (Emergency Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X

Other Emergency Medicine providers in Connecticut →

Registry record

NPI: 1003611187
Entity type: Organization
NPI issued: 13 Feb 2025
Record last updated: 8 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.