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Organization
MAIN LINE URGENT CARE MEDICAL GROUP, P.C.
Active
Organization
MAIN LINE URGENT CARE MEDICAL GROUP, P.C.
Active
Other names
CareSTAT Urgent Care Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE REID MD (CEO)
(410) 569-0044
Entity
Organization
Contact information
Practice address
1305 W CHESTER PIKE, HAVERTOWN, PA 19083-2929
(410) 420-6970
Mailing address
1505 E CHURCHVILLE RD, BEL AIR, MD 21014-4742
(410) 420-6970
(410) 420-6967
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891792255
NPI REGISTRY
PA
Enumeration date
06/16/2011
Last updated
05/04/2018
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