Individual
DR. SHAWN CHRISTOPHER RADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
263 SHAWMONT AVE, UNIT E, PHILADELPHIA, PA 19128-4219
(443) 418-9080
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
291510
NY
207P00000X
Emergency Medicine Physician
Primary
MD436294
PA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD436294
PA
Other
Enumeration date
05/23/2007
Last updated
11/16/2017
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