Provider Demographics
NPI:1174766380
Name:GURUKUL YOGA HOLISTIC CENTER
Entity type:Organization
Organization Name:GURUKUL YOGA HOLISTIC CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER, DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANJUSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:M A DIP FIT&NUTRI
Authorized Official - Phone:908-526-0002
Mailing Address - Street 1:1300 PRINCE RODGERS AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2020
Mailing Address - Country:US
Mailing Address - Phone:908-526-0002
Mailing Address - Fax:908-704-3409
Practice Address - Street 1:1300 PRINCE RODGERS AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2020
Practice Address - Country:US
Practice Address - Phone:908-526-0002
Practice Address - Fax:908-704-3409
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GURUKUL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty