Organization
MAIN LINE URGENT CARE MEDICAL GROUP, P.C.
Active
Other names
CareSTAT Urgent Care Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE REID MD (CEO)
(410) 569-0044
Entity
Organization
Contact information
Practice address
1305 W CHESTER PIKE, HAVERTOWN, PA 19083-2929
(410) 420-6970
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891792255
NPI REGISTRY
PA
Enumeration date
06/16/2011
Last updated
05/04/2018
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