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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