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Organization
MAINLINE URGENT CARE MEDICAL GROUP P.C
Active
Organization
MAINLINE URGENT CARE MEDICAL GROUP P.C
Active
Other names
ExpressCare of Red Lion, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE NATHANIEL REID M.D. (CEO/MD)
(410) 420-6970
Entity
Organization
Contact information
Practice address
3193 CAPE HORN RD, RED LION, PA 17356-8810
(610) 482-4949
Mailing address
1505 E CHURCHVILLE RD, BEL AIR, MD 21014-4742
(410) 420-6970
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
MD442240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102867981-0002
—
PA
Enumeration date
03/01/2016
Last updated
01/10/2017
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