Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1487722849 |
| LBN Legal business name | ADVANCED AMBULATORY, INC. |
| Authorized official | ROBERT PUPELIS - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/01/2006 |
| Last updated | 07/15/2022 - About 4 years ago |
| Identifiers | n/a |
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