Organization
MAINLINE URGENT CARE MEDICAL GROUP
Active
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
4050 NORTH GEORGE STREET EXT, MANCHESTER, PA 17345
(610) 482-4949
(484) 454-3427
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
MD442240
PA
Other
Enumeration date
02/09/2017
Last updated
08/21/2017
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