Integrated Medical Group, P.c.

NPI #1053695148 in Pottsville, Pennsylvania

Provider Information

NPI Number: 1053695148
Entity Type: Organization
Organization Name: Integrated Medical Group, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: INTEGRATED MEDICAL GROUP, P.C.
Primary Specialty: Podiatrist
Enumeration Date: Oct 6, 2011
Last Updated: Oct 6, 2011

Practice Location

Address: 1626 MOUNT HOPE AVE
City: Pottsville
State: Pennsylvania
ZIP Code: 17901-1302
Phone: (570) 622-2230

Authorized Official

Name: JOSEPH C PILLUS
Title: CHIEF EXECUTIVE OFFICER
Phone: (570) 622-5455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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