Provider Demographics
NPI:1700941663
Name:WHOLISTIC HEALTH CENTER
Entity Type:Organization
Organization Name:WHOLISTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WHI-CHU
Authorized Official - Middle Name:WANG
Authorized Official - Last Name:TSAO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, L AC
Authorized Official - Phone:201-491-4697
Mailing Address - Street 1:135 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-1611
Mailing Address - Country:US
Mailing Address - Phone:201-491-4697
Mailing Address - Fax:201-567-6771
Practice Address - Street 1:135 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-1611
Practice Address - Country:US
Practice Address - Phone:201-491-4697
Practice Address - Fax:201-567-6771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty