| Advanced Medicine Pc | |
|
186 County Road 520 Ste 1 Morganville NJ 07751-1246 | |
| (732) 851-4955 | |
| (509) 362-9699 |
| Full Name | Advanced Medicine Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 186 County Road 520 Ste 1, Morganville, New Jersey |
| Authorized Official Name and Position | Ludmila Ridlovsky (PRESIDENT) |
| Authorized Official Contact | 7328514955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medicine Pc 21 Kilmer Dr Building 2, Suite A Morganville NJ 07751-1571 Ph: (732) 851-4955 | Advanced Medicine Pc 186 County Road 520 Ste 1 Morganville NJ 07751-1246 Ph: (732) 851-4955 |
| NPI Number | 1235378175 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 11/27/2019 |
| Medicare PECOS PAC ID | 6709942550 |
|---|---|
| Medicare Enrollment ID | O20090304000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235378175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25 MA08292400 (New Jersey) | Primary |
| Provider Name | Ludmila Ridlovsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780878181 PECOS PAC ID: 6901962992 Enrollment ID: I20090226000340 |
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