# INTEGRATED HEALTH MEDICAL SYSTEM PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** cherry hill clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053583310
- **Authorized official:** DR. MOLLY FANTASIA PHD (REGISTARED AGENT)
- **Authorized official phone:** (856) 489-0505

## Contact information

- **Practice address:** 1930 ROUTE 70 E, SUITE I 48, CHERRY HILL, NJ 08003-2150
- **Practice address phone:** (856) 489-0505
- **Practice address fax:** (856) 489-0435
- **Mailing address:** 1930 ROUTE 70 E, SUITE I 48, CHERRY HILL, NJ 08003-2150
- **Mailing address phone:** (856) 489-0505
- **Mailing address fax:** (856) 489-0435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 03/27/2008