Individual
LEE RADOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S 7TH AVE, SUITE 200, WEST READING, PA 19611-1410
(610) 988-8198
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD069663L
PA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD069663L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01787097
—
PA
Enumeration date
04/25/2006
Last updated
07/16/2024
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