| Radiancemd, Llc | |
|
291 S Lambert Rd Ste 5 Orange CT 06477-3559 | |
| (203) 553-9537 | |
| Not Available |
| Full Name | Radiancemd, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 291 S Lambert Rd Ste 5, Orange, Connecticut |
| Authorized Official Name and Position | Jennifer Dilungo (OWNER) |
| Authorized Official Contact | 2036752973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiancemd, Llc 291 S Lambert Rd Ste 5 Orange CT 06477-3559 Ph: () - | Radiancemd, Llc 291 S Lambert Rd Ste 5 Orange CT 06477-3559 Ph: (203) 553-9537 |
| NPI Number | 1265190946 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 04/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265190946 | NPI | - | NPPES |
| 1972649812 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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