Provider Demographics
NPI:1063307775
Name:ADVANCED PULMONARY CRITICAL CARE MD PC
Entity type:Organization
Organization Name:ADVANCED PULMONARY CRITICAL CARE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:GUGNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-851-2006
Mailing Address - Street 1:PO BOX 3166
Mailing Address - Street 2:
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-0166
Mailing Address - Country:US
Mailing Address - Phone:609-851-2006
Mailing Address - Fax:
Practice Address - Street 1:7 OLIVIA RD
Practice Address - Street 2:
Practice Address - City:HIGHTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08520-4761
Practice Address - Country:US
Practice Address - Phone:609-851-2006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty