Organization
ADVANCING WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERRYL LYNN THOMAS MD (PHYSICIAN/OWNER)
(732) 658-1375
Entity
Organization
Contact information
Practice address
1445 ROUTE 130, NORTH BRUNSWICK, NJ 08902-3100
(732) 658-1375
Mailing address
PO BOX 58, FRANKLIN PARK, NJ 08823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA53452
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3610209
—
NJ
Enumeration date
05/05/2010
Last updated
05/05/2010
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