| Organization Name: | ADVANCED PHYSICAL MEDICINE CENTER, LLC |
| NPI Number: | 1043393085 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL ARBER (DIRECTOR OWNER) |
| Mailing Address: | 222 Bergen Blvd Ste 8 Fairview |
| State: | NJ US |
| Postal Code: | 07022 |
| Phone Number: | 2019451156 |
| Fax Number: | 2019450012 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 10/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |