Organization
ULTRA CARE CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMRAN AZAM MIRZA MD (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(856) 381-9598
Entity
Organization
Contact information
Practice address
1132 COOPER ST, DEPTFORD, NJ 08096-3014
(856) 848-8060
(856) 848-8038
Mailing address
PO BOX 69, MICKLETON, NJ 08056-0069
(856) 848-8060
(856) 848-8038
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
25MA08024700
NJ
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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