| Organization Name: | CRESCENT URGENT HEALTH CARE SERVICE |
| NPI Number: | 1104182161 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IRFANA ALI (OWNER) |
| Mailing Address: | 10540 Connecticut Ave Kensington |
| State: | MD US |
| Postal Code: | 208952426 |
| Phone Number: | 3019490030 |
| Fax Number: | 3019490033 |
| NPI Enumeration Date: | 04/04/2012 |
| NPI Last Update Date: | 04/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 1346494234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |