| Reliant Medical Group, Inc. | |
|
425 N Lake Ave Worcester MA 01605-2047 | |
| (508) 852-0600 | |
| Not Available |
| Full Name | Reliant Medical Group, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 425 N Lake Ave, Worcester, Massachusetts |
| Authorized Official Name and Position | Robin Richman (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5088520600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliant Medical Group, Inc. 630 Plantation St, Wot 12th Fl Attn: Medical Staff Services Worcester MA 01605-2038 Ph: (508) 368-5424 | Reliant Medical Group, Inc. 425 N Lake Ave Worcester MA 01605-2047 Ph: (508) 852-0600 |
| NPI Number | 1528103025 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528103025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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