# INTEGRATIVE FUNCTIONAL MEDICINE ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063739829
- **Authorized official:** JODI THOMAS (MD)
- **Authorized official phone:** (201) 967-8425

## Contact information

- **Practice address:** 292 BLOOMFIELD AVE, 2ND FLOOR, MONTCLAIR, NJ 07042-3624
- **Practice address phone:** (973) 928-8909
- **Practice address fax:** (201) 967-8425
- **Mailing address:** 41 WATCHUNG PLZ, SUITE 345, MONTCLAIR, NJ 07042-4117
- **Mailing address phone:** (201) 967-8425
- **Mailing address fax:** (201) 967-8443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0004X | Spinal Cord Injury Medicine Physician | 25MA07295900 | NJ | Yes |

## Other

- **Enumeration date:** 05/03/2010
- **Last updated:** 05/03/2010