Provider Demographics
NPI:1487147740
Name:ADVANCED PULMONARY MEDICINE, LLC
Entity type:Organization
Organization Name:ADVANCED PULMONARY MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AVTAR
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-264-7970
Mailing Address - Street 1:721 N BEERS ST STE 2G&H
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1518
Mailing Address - Country:US
Mailing Address - Phone:732-264-7970
Mailing Address - Fax:732-264-8858
Practice Address - Street 1:721 NORTH BEERS ST
Practice Address - Street 2:SUITE 2G & H
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733
Practice Address - Country:US
Practice Address - Phone:732-264-7970
Practice Address - Fax:732-264-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty