Provider Demographics
NPI:1578920179
Name:NATURALLY HEALING LLC
Entity Type:Organization
Organization Name:NATURALLY HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SONOO
Authorized Official - Middle Name:KISHU
Authorized Official - Last Name:ADVANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-992-4433
Mailing Address - Street 1:315 E NORTHFIELD RD
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4896
Mailing Address - Country:US
Mailing Address - Phone:973-992-4433
Mailing Address - Fax:973-992-1313
Practice Address - Street 1:315 E NORTHFIELD RD
Practice Address - Street 2:SUITE 1C
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4896
Practice Address - Country:US
Practice Address - Phone:973-992-4433
Practice Address - Fax:973-992-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06806400207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty