Provider Demographics
NPI:1568071173
Name:ADVANCED MEDICAL AND WELLNESS CENTERS L.L.C.
Entity Type:Organization
Organization Name:ADVANCED MEDICAL AND WELLNESS CENTERS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:REINHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-827-0003
Mailing Address - Street 1:65 NEWTON SPARTA RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2816
Mailing Address - Country:US
Mailing Address - Phone:973-383-5533
Mailing Address - Fax:973-383-5501
Practice Address - Street 1:65 NEWTON SPARTA RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2816
Practice Address - Country:US
Practice Address - Phone:973-383-5533
Practice Address - Fax:973-383-5501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED MEDICAL AND WELLNESS CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty