Organization
RADIANT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT FORWOOD (PRESIDENT)
(302) 494-9777
Entity
Organization
Contact information
Practice address
529 BALTIMORE PIKE, SPRINGFIELD, PA 19064-3839
(302) 494-9777
Mailing address
529 BALTIMORE PIKE, SPRINGFIELD, PA 19064-3839
(302) 494-9777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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