Organization
RELIANT MEDICAL GROUP
Active
Parent organization
RELIANT MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
RELIANT MEDICAL GROUP
Authorized official
TAREK ELSAWY MD (PRESIDENT & CEO)
(508) 852-0600
Entity
Organization
Contact information
Practice address
123 SUMMER ST STE 155, WORCESTER, MA 01608-1216
(508) 856-9599
(508) 368-3178
Mailing address
5 NEPONSET ST, WORCESTER, MA 01606-2714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
11/11/2019
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