Organization
RADNOR FAMILY PRACTICE, PLLC, DBA IM HEALTH
Active
Parent organization
RADNOR FAMILY PRACTICE, PLLC, DBA IM HEALTH
Other names
IM Health Nutrition Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADNOR FAMILY PRACTICE, PLLC, DBA IM HEALTH
Authorized official
EMILY MARIE FISK (MANAGING DIRECTOR)
(610) 688-8807
Entity
Organization
Contact information
Practice address
372 W LANCASTER AVE, WAYNE, PA 19087-3924
(610) 688-8807
(610) 688-2970
Mailing address
372 W LANCASTER AVE, WAYNE, PA 19087-3924
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
03/01/2022
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