Integrated Medical Group P C

NPI #1336102268 in Pottsville, Pennsylvania

Provider Information

NPI Number: 1336102268
Entity Type: Organization
Organization Name: Integrated Medical Group P C
Primary Specialty: Family Medicine
Enumeration Date: Apr 11, 2006
Last Updated: Feb 10, 2016

Practice Location

Address: 82 TUNNEL RD
City: Pottsville
State: Pennsylvania
ZIP Code: 17901-3869
Phone: (570) 622-5455

Authorized Official

Name: JENNIFER BOYER
Title: BILLING MANAGER
Phone: (570) 622-5455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
Clinical Medical Laboratory	291U00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Allergy & Immunology - Allergy — Allergy	207KA0200X
Family Medicine	207Q00000X	Primary

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