NPI 1891074985 · live from the CMS NPI Registry
Advanced Urgent Care Of Roosevelt Blvd LLC
Family Medicine in Philadelphia, PA. National Provider Identifier 1891074985, active.
NPI record
| NPI | 1891074985 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 9432 Roosevelt Blvd, Philadelphia, PA 19115 |
| Practice phone | 570-871-4003 |
| Mailing address | Po Box 957, Scranton, PA 18501 |
| Enumerated | August 8, 2011 |
| Last updated | January 12, 2012 |
| Authorized official | Mehdi Nikparvar, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.