Healthcare Provider Details

I. General information

NPI: 1295976876
Provider Name (Legal Business Name): PREMIER IMMEDIATE MEDICAL CARE, LLC PREMIER URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2009
Last Update Date: 06/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 KINGS HWY N SUITE 800
CHERRY HILL NJ
08034-2309
US

IV. Provider business mailing address

450 CRESSON BLVD SUITE 110
OAKS PA
19456-0876
US

V. Phone/Fax

Practice location:
  • Phone: 856-433-6200
  • Fax: 856-433-6201
Mailing address:
  • Phone: 610-728-6074
  • Fax: 610-728-6071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number0600337227
License Number StateNJ

VIII. Authorized Official

Name: DR. EDWARD M SILVERMAN
Title or Position: CEO
Credential: D.O.
Phone: 610-728-6074