Organization
ADVANCED URGENT CARE OF ROOSEVELT BLVD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHDI NIKPARVAR MD (OWNER)
(570) 441-4267
Entity
Organization
Contact information
Practice address
9432 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-4321
(570) 871-4003
Mailing address
PO BOX 957, SCRANTON, PA 18501-0957
(570) 871-4003
(570) 955-0267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/08/2011
Last updated
01/12/2012
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