Organization
INCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHDI NIKPARVARFAR MD (PRESIDENT)
(570) 387-2119
Entity
Organization
Contact information
Practice address
701 E 16TH ST, BERWICK, PA 18603-2316
(570) 208-5571
Mailing address
415 N MAIN ST, WILKES BARRE, PA 18702-4411
(570) 208-5571
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2762952
—
OH
Enumeration date
07/14/2006
Last updated
02/20/2009
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