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Organization
ADVANCED URGENT CARE OF WILLOW GROVE LLC
Active
Organization
ADVANCED URGENT CARE OF WILLOW GROVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHDI NIKPARVARFARD M.D. (OWNER)
(570) 441-4267
Entity
Organization
Contact information
Practice address
126 EASTON RD, WILLOW GROVE, PA 19090-3203
(215) 366-7437
(267) 607-2921
Mailing address
305 MULBERRY ST, P.O. BOX 957, SCRANTON, PA 18503-1230
(570) 871-4003
(570) 955-0267
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
MD424252
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010805460001
—
PA
Enumeration date
06/11/2015
Last updated
06/11/2015
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