Integrated Medical Group

NPI #1366406761 in Pottsville, Pennsylvania

Provider Information

NPI Number: 1366406761
Entity Type: Organization
Organization Name: Integrated Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Apr 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 48 TUNNEL RD
Address 2: SUITE 203
City: Pottsville
State: Pennsylvania
ZIP Code: 17901-3875
Phone: (570) 622-5455

Authorized Official

Name: DAVID GONZALEZ
Title: CREDENTIALING CONTACT
Phone: (570) 622-5455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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