Healthcare Provider Details

I. General information

NPI: 1184138125
Provider Name (Legal Business Name): CROSSCULTURES HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 11/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 HIGHWAY 33
HAMILTON NJ
08619-4407
US

IV. Provider business mailing address

12 PERRINE RD
MONMOUTH JUNCTION NJ
08852-2717
US

V. Phone/Fax

Practice location:
  • Phone: 609-931-9464
  • Fax: 609-931-9466
Mailing address:
  • Phone: 609-919-9100
  • Fax: 609-919-1800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNJ

VIII. Authorized Official

Name: ILA BRAHMBHATT
Title or Position: ADMIN
Credential:
Phone: 609-919-9100