Organization
ADVANCED URGENT CARE OF WILLOW GROVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHDI NIKPARVARFARD MD (OWNER)
(570) 441-4267
Entity
Organization
Contact information
Practice address
126 EASTON RD, WILLOW GROVE, PA 19090-3203
(610) 927-5921
(610) 898-4998
Mailing address
PO BOX 957, SCRANTON, PA 18501-0957
(570) 871-4003
(866) 691-4201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD424252
PA
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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