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1366406761
INTEGRATED MEDICAL GROUP
POTTSVILLE, PA
NPI
1366406761
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Entity Type
Organization
Authorized Contact
DAVID GONZALEZ
Credentialing Contact
570-622-5455
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-04-13
Last Update Date
2020-08-22
Business Address
INTEGRATED MEDICAL GROUP
48 TUNNEL RD SUITE 203
POTTSVILLE, PA 17901-3875
Phone number: 570-622-5455
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Mailing Address
INTEGRATED MEDICAL GROUP
48 TUNNEL RD SUITE 203
POTTSVILLE, PA 17901-3875
Phone number: 570-622-5455
Copy
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