Organization
LANCASTER PRIMARY CARE MEDICAL PLLC
Active
Other names
Five Star Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C RADFORD MD (OWNER)
(716) 699-9032
Entity
Organization
Contact information
Practice address
5007 TRANSIT RD, DEPEW, NY 14043-4617
(716) 650-5516
(716) 650-5515
Mailing address
PO BOX 248, ELLICOTTVILLE, NY 14731-0248
(716) 699-9032
(716) 699-9035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
08/13/2015
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