Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BORIS RADISIC, P.T.
Active Sole ProprietorBORIS RADISIC, P.T. is a General Acute Care Hospital healthcare provider located in KENNETT SQUARE, Pennsylvania. NPI 1073737565 is currently active in the NPPES registry. Verify at CMS.
General Acute Care Hospital · KENNETT SQUARE, PA
Registration Details
- NPI Number
- 1073737565
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2007 (19.153365267928 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT004064L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
830 W CYPRESS STKENNETT SQUARE, PA, 193482218Browse PA providers · Browse ZIP 19348
- Phone
- 6104446242
- Fax
- 6104441391
- Primary Specialty
-
General Acute Care Hospital
282N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.