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MB INTEGRATIVE MEDICINE LLC NPI 1962872861


NPI Information

NPI: 1962872861
Provider Name: MB INTEGRATIVE MEDICINE LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
6782 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19119
Phone: (267) 506-0642
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MB INTEGRATIVE MEDICINE LLC is a medical specialty clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MB INTEGRATIVE MEDICINE LLC NPI is 1962872861. The provider is registered as an organization entity type.

The provider's business location address is:

6782 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19119-110
Phone: (267) 506-0642
Fax: (267) 502-3000

The provider's authorized official is Melissa Borrero .
The authorized official title is Owner/physician and has the following contact phone number (267) 506-0642.

The enumeration date for this NPI number is 10/5/2015 and was last updated on 10/5/2015.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/14/2023

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