Organization
RADIANT LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW GERALD AGASAR DC (MANAGER)
(215) 259-5100
Entity
Organization
Contact information
Practice address
319 W COUNTY LINE RD STE 1, HATBORO, PA 19040-1605
(215) 259-5100
(484) 845-3177
Mailing address
319 W COUNTY LINE RD STE 1, HATBORO, PA 19040-1605
(215) 259-5100
(484) 845-3177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011154
PA
Other
Enumeration date
06/21/2016
Last updated
01/03/2021
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