Reliant Medical Group, Inc

Organization Active NPI Optometrist · Worcester, MA

NPI 1780729293 · NPPES record last updated Nov 11, 2019

Key facts

NPI
1780729293
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
RELIANT MEDICAL GROUP, INC
Practice address
5 Neponset St
Worcester, MA 01606-2714
Phone
(508) 856-9599
Fax
(508) 854-4998
NPI assigned
Feb 21, 2007
Organization subpart
No

Authorized official

Name
Tarek Elsawy, MD
Title
President & Ceo
Phone
(508) 852-0600

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Fallon Clinic Pharmacy (19 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP
152W00000X Yes

Addresses

Primary practice location

5 Neponset St
Worcester, MA 01606-2714

Mailing address

5 Neponset St
Worcester, MA 01606-2714

Other providers in Worcester, MA

All providers in Worcester, MA · Optometrist in Massachusetts

Sources for this page

Verify at the official NPI Registry.