Doctor Name: | MS. VILASAVATHI VENKATACHALAM |
NPI Number: | 1427383470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD |
License Number: | 881134 |
Business Practice Address: | 442 Route 202/206 North #245 Bedminster, NJ - 07921 |
Business Phone Number: | 9083583908 |
Business Fax Number: | |
Mailing Address: | 442 Route 202/206 North,, #245 BEDMINSTER |
State: | NJ |
Postal Code: | 07921 |
Phone Number: | 9083583908 |
Fax Number: | |
NPI Enumeration Date: | 10/08/2009 |
NPI Last Update Date: | 02/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 881134 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |