# ADVANCED URGENT CARE OF WILLOW GROVE LLC

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

## Provider details

- **NPI number:** 1972880813
- **Authorized official:** DR. MEHDI NIKPARVARFARD MD (OWNER)
- **Authorized official phone:** (570) 441-4267

## Contact information

- **Practice address:** 126 EASTON RD, WILLOW GROVE, PA 19090-3203
- **Practice address phone:** (610) 927-5921
- **Practice address fax:** (610) 898-4998
- **Mailing address:** PO BOX 957, SCRANTON, PA 18501-0957
- **Mailing address phone:** (570) 871-4003
- **Mailing address fax:** (866) 691-4201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD424252 | PA | Yes |

## Other

- **Enumeration date:** 11/07/2011
- **Last updated:** 11/07/2011
