| Organization Name: | ADVANCED MEDICINE PC |
| NPI Number: | 1235378175 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUDMILA RIDLOVSKY (PRESIDENT) |
| Mailing Address: | 21 Kilmer Dr Building 2, Suite A Morganville |
| State: | NJ US |
| Postal Code: | 077511571 |
| Phone Number: | 7328514955 |
| Fax Number: | 5093629699 |
| NPI Enumeration Date: | 02/17/2009 |
| NPI Last Update Date: | 02/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 25 MA08292400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |