INTEGRA WELLNESS HEALTH. PC NPI 1730797226

NPI Information

NPI: 1730797226
Provider Name: INTEGRA WELLNESS HEALTH. PC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1077 LEXINGTON ST STE 203
WALTHAM, MA
ZIP 02452
Phone: (781) 642-7934
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INTEGRA WELLNESS HEALTH. PC is a health service clinic center in Waltham, MA. INTEGRA WELLNESS HEALTH. PC NPI is 1730797226. The provider is registered as an organization entity type.

The provider's business location address is:

1077 LEXINGTON ST STE 203
WALTHAM, MA
ZIP 02452-233
Phone: (781) 642-7934
Fax: (781) 642-7824

The provider's authorized official is Jing Liu .
The authorized official title is Owner and has the following contact phone number (781) 642-7934.

The enumeration date for this NPI number is 7/21/2020 and was last updated on 7/21/2020.

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
1	261QH0100X	Clinic/Center	Health Service			Yes

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

NPI Synchronization or Removal

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