Provider Demographics
NPI:1033914197
Name:NUTRITIONAL WELLNESS CENTER
Entity type:Organization
Organization Name:NUTRITIONAL WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:INELBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DAC, MSC, CNS
Authorized Official - Phone:856-499-2160
Mailing Address - Street 1:1 CINNAMINSON AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:NJ
Mailing Address - Zip Code:08065-1303
Mailing Address - Country:US
Mailing Address - Phone:215-407-2019
Mailing Address - Fax:856-267-1046
Practice Address - Street 1:1 CINNAMINSON AVE STE 206
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NJ
Practice Address - Zip Code:08065-1303
Practice Address - Country:US
Practice Address - Phone:856-499-2160
Practice Address - Fax:856-267-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty