| Advancing Wellness, Llc | |
|
1445 Route 130 North Brunswick NJ 08902-3100 | |
| (732) 658-1375 | |
| Not Available |
| Full Name | Advancing Wellness, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1445 Route 130, North Brunswick, New Jersey |
| Authorized Official Name and Position | Cherryl Lynn Thomas (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7326581375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advancing Wellness, Llc Po Box 58 Franklin Park NJ 08823 Ph: () - | Advancing Wellness, Llc 1445 Route 130 North Brunswick NJ 08902-3100 Ph: (732) 658-1375 |
| NPI Number | 1689992331 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/05/2010 |
| Medicare PECOS PAC ID | 9133250608 |
|---|---|
| Medicare Enrollment ID | O20100628000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689992331 | NPI | - | NPPES |
| 3610209 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA53452 (New Jersey) | Primary |
| Provider Name | Cherryl Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134113640 PECOS PAC ID: 3971528969 Enrollment ID: I20051010000103 |
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