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Organization

PRIORITY CARE PROVIDER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK NIMCHUK DPT (CEO)
(267) 254-4553
Entity
Organization

Contact information

Practice address
1000 GUM PL APT A, HUNTINGDON VALLEY, PA 19006-1716
(267) 254-4553
(215) 893-5231
Mailing address
425 LAWRENCE RD, HUNTINGDON VALLEY, PA 19006-2334
(267) 254-4553

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CER-00125254
PA

Other

Enumeration date
04/29/2018
Last updated
04/29/2018
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