Organization
UNITED RECOVERY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARFARAZ ABDEALI JASDANWALA MD (OWNER)
(312) 953-5636
Entity
Organization
Contact information
Practice address
17781 HORNBEAN DR, WILDWOOD, MO 63005-4229
(760) 908-1253
Mailing address
17781 HORNBEAN DR, WILDWOOD, MO 63005-4229
(760) 908-1253
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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