# ADVANCED URGENT CARE OF WILLOW GROVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104207612
- **Authorized official:** DR. MEHDI NIKPARVARFARD M.D. (OWNER)
- **Authorized official phone:** (570) 441-4267

## Contact information

- **Practice address:** 126 EASTON RD, WILLOW GROVE, PA 19090-3203
- **Practice address phone:** (215) 366-7437
- **Practice address fax:** (267) 607-2921
- **Mailing address:** 305 MULBERRY ST, P.O. BOX 957, SCRANTON, PA 18503-1230
- **Mailing address phone:** (570) 871-4003
- **Mailing address fax:** (570) 955-0267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | MD424252 | PA | Yes |

## Other

- **Enumeration date:** 06/11/2015
- **Last updated:** 06/11/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1010805460001 | — | PA |