MEDICARE: XPRESS MED URGENT CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1871296459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XPRESS MED URGENT CARE LLC

Provider Business Mailing Address
First Line	:	10 SKY VIEW DR
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-2885
Country	:	US
Telephone Number	:	860-856-1225
Fax Number	:

Provider Business Practice Location Address
First Line	:	447 SUMNER AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01108-2320
Country	:	US
Telephone Number	:	413-726-9575
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MANSOOR ANWER ZAIDI
Credential	:	MD
Telephone Number	:	860-856-1225

Provider Enumeration Date	:	03/23/2023
Last Update Date	:	06/13/2024

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Directions to “XPRESS MED URGENT CARE LLC ” Practice Location

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