Provider Demographics
NPI:1093148975
Name:ADVANCE MEDICAL CARE LLC
Entity Type:Organization
Organization Name:ADVANCE MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ADBULD-HADY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:608-581-6655
Mailing Address - Street 1:445 WHITE HORSE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-1408
Mailing Address - Country:US
Mailing Address - Phone:609-581-6655
Mailing Address - Fax:
Practice Address - Street 1:445 WHITE HORSE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-1408
Practice Address - Country:US
Practice Address - Phone:609-581-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty