MEDICARE: URGENT MEDICAL CARE & MRI, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RM1200X	Magnetic Resonance Imaging (MRI) Internal Medicine Physician
2	261QM1300X	Multi-Specialty Clinic/Center
3	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1588287957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT MEDICAL CARE & MRI, LLC

Provider Business Mailing Address
First Line	:	3540 KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07307-3450
Country	:	US
Telephone Number	:	201-656-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	3540 KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07307-3450
Country	:	US
Telephone Number	:	201-656-2273
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL HADDAD
Credential	:
Telephone Number	:	201-306-9404

Provider Enumeration Date	:	05/20/2020
Last Update Date	:	05/20/2020

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