| Radiance Healthcare Llc | |
|
130 White Horse Pike Ste A-1 Clementon NJ 08021-4159 | |
| (856) 264-7024 | |
| Not Available |
| Full Name | Radiance Healthcare Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 130 White Horse Pike Ste A-1, Clementon, New Jersey |
| Authorized Official Name and Position | Raheel Siddiqui (PRESIDENT) |
| Authorized Official Contact | 8562647024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiance Healthcare Llc 130 White Horse Pike Ste A-1 Clementon NJ 08021-4159 Ph: (856) 264-7024 | Radiance Healthcare Llc 130 White Horse Pike Ste A-1 Clementon NJ 08021-4159 Ph: (856) 264-7024 |
| NPI Number | 1417661729 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417661729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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