Basic Information
Provider Information
NPI: 1033540075
EntityType: 2
ReplacementNPI:  
OrganizationName: PREMIER URGENT CARE WARMINSTER LLC
LastName:  
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Credential:  
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Mailing Information
Address1: 278 EAGLEVIEW BLVD
Address2:  
City: EXTON
State: PA
PostalCode: 193411157
CountryCode: US
TelephoneNumber: 6105616400
FaxNumber: 6105616401
Practice Location
Address1: 930 W STREET RD
Address2:  
City: WARMINSTER
State: PA
PostalCode: 189743124
CountryCode: US
TelephoneNumber: 2673875200
FaxNumber: 2673875201
Other Information
ProviderEnumerationDate: 12/02/2013
LastUpdateDate: 07/30/2015
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: SILVERMAN
AuthorizedOfficialFirstName: EDWARD
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 6102470891
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: D.O.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QM1300X  N Ambulatory Health Care FacilitiesClinic/CenterMulti-Specialty
261QU0200X  Y Ambulatory Health Care FacilitiesClinic/CenterUrgent Care

No ID Information.


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