| Advanced Urgent Care Of Roosevelt Blvd Llc | |
|
9432 Roosevelt Blvd Philadelphia PA 19115-4321 | |
| (570) 871-4003 | |
| Not Available |
| Full Name | Advanced Urgent Care Of Roosevelt Blvd Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9432 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mehdi Nikparvar (OWNER) |
| Authorized Official Contact | 5704414267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Urgent Care Of Roosevelt Blvd Llc Po Box 957 Scranton PA 18501-0957 Ph: (570) 871-4003 | Advanced Urgent Care Of Roosevelt Blvd Llc 9432 Roosevelt Blvd Philadelphia PA 19115-4321 Ph: (570) 871-4003 |
| NPI Number | 1891074985 |
|---|---|
| Provider Enumeration Date | 08/08/2011 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891074985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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