Organization
MEDADVANCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY WIMBERG (VP BILLING OPERATIONS)
(609) 517-2526
Entity
Organization
Contact information
Practice address
731 BAY AVE, SOMERS POINT, NJ 08244-2378
(865) 888-9958
(440) 582-3171
Mailing address
731 BAY AVE, SOMERS POINT, NJ 08244-2378
(865) 888-9958
(267) 907-8012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/20/2024
Last updated
05/20/2025
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