Healthcare Provider Details

I. General information

NPI: 1700941663
Provider Name (Legal Business Name): WHOLISTIC HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 JEFFERSON AVE
TENAFLY NJ
07670-1611
US

IV. Provider business mailing address

135 JEFFERSON AVE
TENAFLY NJ
07670-1611
US

V. Phone/Fax

Practice location:
  • Phone: 201-491-4697
  • Fax: 201-567-6771
Mailing address:
  • Phone: 201-491-4697
  • Fax: 201-567-6771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNJ

VIII. Authorized Official

Name: WHI-CHU WANG TSAO
Title or Position: PRESIDENT
Credential: M.S., L. AC.
Phone: 201-491-4697