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INTEGRATED MEDICAL GROUP P.C. NPI 1366887887


NPI Information

NPI: 1366887887
Provider Name: INTEGRATED MEDICAL GROUP, P.C.

Other Name: IMGPC ALLERGY

Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
2210 RIDGEWOOD RD
SUITE 100
WYOMISSING, PA
ZIP 19610
Phone: (610) 372-0502
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INTEGRATED MEDICAL GROUP, P.C. is an allergy allergy immunology in Wyomissing, PA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee INTEGRATED MEDICAL GROUP, P.C. NPI is 1366887887. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Imgpc Allergy.

The provider's business location address is:

2210 RIDGEWOOD RD
SUITE 100
WYOMISSING, PA
ZIP 19610-287
Phone: (610) 372-0502
Fax: (610) 372-9554

The provider's authorized official is Craig Hunt .
The authorized official title is Chief Operating Officer and has the following contact phone number (570) 622-5455.

The enumeration date for this NPI number is 5/10/2013 and was last updated on 5/10/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergyYes

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: 4/28/2024

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