Organization
ADVANTAGE MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY LUU DO (OWNER)
(610) 999-2574
Entity
Organization
Contact information
Practice address
1450 E BOOT RD STE 200C, WEST CHESTER, PA 19380-5999
(610) 343-1333
(877) 233-5612
Mailing address
1450 E BOOT RD STE 200C, WEST CHESTER, PA 19380-5999
(610) 343-1333
(877) 233-5612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS015580
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026069200005
—
PA
Enumeration date
10/10/2017
Last updated
10/10/2017
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