Boris Radisic P.T.

NPI 1073737565 - General Acute Care Hospital - 282N00000X

NPI Details
NPI 1073737565
Gender Male
Enumeration Date 04/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
830 W CYPRESS ST
KENNETT SQUARE PA, 19348-2218, US
Phone (610) 444-6242
Fax (610) 444-1391
Business Location
737 MEADOWLARK RD
AUDUBON PA, 19403-1913, US
Phone (610) 666-7695
Fax
Toxanomy
Taxonomy Code 282N00000X
License State Pennsylvania
License Number PT004064L
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According to our database, Boris Radisic P.T. NPI is 1073737565, taxonomy code is 282N00000X and license number is PT004064L, license state is located at Pennsylvania. Boris Radisic P.T. physically located at 830 W Cypress St, Kennett Square PA, 19348-2218. NPI Number Boris Radisic P.T. has the Individual type.

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1073737565 NPI number is provided on an as is basis without warranty of any kind. 1073737565 is maintained by the National Plan & Provider Enumeration System. The contents of Boris Radisic P.T. are for informational purposes only.