| Radiance Medical Group | |
|
1229 S 6th St Philadelphia PA 19147-4837 | |
| (215) 792-4212 | |
| (267) 361-0666 |
| Full Name | Radiance Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1229 S 6th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Victoria Borgia (PRESIDENT) |
| Authorized Official Contact | 2678091799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiance Medical Group 1229 S 6th St Philadelphia PA 19147-4837 Ph: (215) 792-4212 | Radiance Medical Group 1229 S 6th St Philadelphia PA 19147-4837 Ph: (215) 792-4212 |
| NPI Number | 1740837442 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740837442 | NPI | - | NPPES |
| MD427968 | Other | PA | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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