Healthcare Provider Details

I. General information

NPI: 1245506856
Provider Name (Legal Business Name): NORTHWOOD URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 03/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3729 EASTON NAZARETH HIGHWAY SUITE 202
EASTON PA
18045
US

IV. Provider business mailing address

3729 EASTON NAZARETH HIGHWAY SUITE 202
EASTON PA
18045
US

V. Phone/Fax

Practice location:
  • Phone: 610-252-7410
  • Fax: 610-258-6107
Mailing address:
  • Phone: 610-252-7410
  • Fax: 610-258-6107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberMD022051E
License Number StatePA

VIII. Authorized Official

Name: DR. ATUL K AMIN
Title or Position: PRESIDENT
Credential: MD
Phone: 610-252-7410