Healthcare Provider Details

I. General information

NPI: 1841463221
Provider Name (Legal Business Name): EXPRESSCARE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 N OLDEN AVE EXPRESSCARE, INSIDE SHOPRITE
EWING NJ
08638-3100
US

IV. Provider business mailing address

8004 LINCOLN DR W STE H
MARLTON NJ
08053-3213
US

V. Phone/Fax

Practice location:
  • Phone: 609-771-0227
  • Fax: 609-771-0228
Mailing address:
  • Phone: 856-596-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number25MA06033900
License Number StateNJ

VIII. Authorized Official

Name: DR. MAHENDRA DADHANIA
Title or Position: OWNER
Credential: MD
Phone: 856-287-0362