Provider Demographics
NPI:1346810868
Name:CLAYMONT WALK IN CARE LLC
Entity Type:Organization
Organization Name:CLAYMONT WALK IN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:XIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-780-2900
Mailing Address - Street 1:PO BOX 1440
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-5440
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:844-633-2274
Practice Address - Street 1:2400 PHILADELPHIA PIKE STE A1
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-2431
Practice Address - Country:US
Practice Address - Phone:302-317-1531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty