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ADVANCED MEDICAL AND SKIN CARE LLC NPI 1578099081


NPI Information

NPI: 1578099081
Provider Name: ADVANCED MEDICAL AND SKIN CARE LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 31D2164191

Address:
208 HARRISTOWN RD
GLEN ROCK, NJ
ZIP 07452
Phone: (201) 882-1050
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ADVANCED MEDICAL AND SKIN CARE LLC is an internal medicine in Glen Rock, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ADVANCED MEDICAL AND SKIN CARE LLC NPI is 1578099081. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

208 HARRISTOWN RD
GLEN ROCK, NJ
ZIP 07452-308
Phone: (201) 882-1050
Fax: (201) 882-1040

The provider's authorized official is Luis Luna .
The authorized official title is Owner/medical Director and has the following contact phone number (201) 882-1050.

The CLIA number assigned to this NPI record is 31D2164191 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2017 and was last updated on 1/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine25MA07806100NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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