Healthcare Provider Details
I. General information
NPI: 1710159413
Provider Name (Legal Business Name): EXPRESSCARE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2008
Last Update Date: 04/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6301 OXFORD AVE EXPRESSCARE, INSIDE SHOPRITE
PHILADELPHIA PA
19111-5366
US
IV. Provider business mailing address
8004 LINCOLN DR W STE H
MARLTON NJ
08053-3213
US
V. Phone/Fax
- Phone: 215-744-5739
- Fax:
- Phone: 856-596-3100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MAHENDRA
DADHANIA
Title or Position: OWNER
Credential: MD
Phone: 856-287-0362