Organization
RADSERVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOB GREENWALD MD (SOLE PROPIETOR)
(814) 336-3008
Entity
Organization
Contact information
Practice address
875 GROVE ST, MEADVILLE, PA 16335-2411
(814) 336-3008
Mailing address
875 GROVE ST, MEADVILLE, PA 16335-2411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
124078
NY
Other
Enumeration date
07/10/2006
Last updated
10/29/2007
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