Provider Demographics
NPI:1699106476
Name:ADVANCED ALLERGY & ASTHMA FAMILY CARE LLC
Entity type:Organization
Organization Name:ADVANCED ALLERGY & ASTHMA FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NEHA
Authorized Official - Middle Name:MADHOK
Authorized Official - Last Name:BHAMBRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-261-9786
Mailing Address - Street 1:26 PARKER RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2336
Mailing Address - Country:US
Mailing Address - Phone:732-261-9786
Mailing Address - Fax:
Practice Address - Street 1:1 WOODBRIDGE CTR
Practice Address - Street 2:STE 400
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-1150
Practice Address - Country:US
Practice Address - Phone:732-636-8844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08844600261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty