Organization Name: | ANCIENT WISDOM, MODERN SOLUTIONS |
NPI Number: | 1558671040 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VILASAVATHI VENKATACHALAM (PRINCIPAL) |
Mailing Address: | 442 Route 202/206 North, #245 Bedminster |
State: | NJ US |
Postal Code: | 07921 |
Phone Number: | 9083583908 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2010 |
NPI Last Update Date: | 10/18/2010 |
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: |