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INTEGRATIVE MEDICINE AND BIOFEEDBACK CLINIC NPI 1881742369


NPI Information

NPI: 1881742369
Provider Name: INTEGRATIVE MEDICINE AND BIOFEEDBACK CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
813 E GATE DR STE B
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 222-9965
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INTEGRATIVE MEDICINE AND BIOFEEDBACK CLINIC is a family medicine in Mount Laurel, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INTEGRATIVE MEDICINE AND BIOFEEDBACK CLINIC NPI is 1881742369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

813 E GATE DR STE B
MOUNT LAUREL, NJ
ZIP 08054-238
Phone: (856) 222-9965
Fax: (856) 222-9916

The provider's authorized official is C. Samuel Verghese .
The authorized official title is Clinical Director and has the following contact phone number (856) 222-9965.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 9/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZE0500XSpecialist/Technologist, OtherEEGNo
2175F00000XNaturopathNo
3175L00000XHomeopathNo
4133NN1002XNutritionistNutrition, EducationNo
5246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo
6103TC0700XPsychologistClinicalNEW JERSEYNo
7207Q00000XFamily Medicine25MB05189200NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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