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1073737565
BORIS RADISIC
KENNETT SQUARE, PA
NPI
1073737565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: PA PT004064l)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
-- BORIS RADISIC P.T.
830 W CYPRESS ST
KENNETT SQUARE, PA 19348-2218
Phone number: 610-444-6242
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Mailing Address
-- BORIS RADISIC P.T.
737 MEADOWLARK RD
AUDUBON, PA 19403-1913
Phone number: 610-666-7695
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