# INTEGRATED MEDICINE & PT

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

## Provider details

- **NPI number:** 1114384450
- **Authorized official:** DR. PAUL MARSTON DC (OWNER)
- **Authorized official phone:** (973) 838-6252

## Contact information

- **Practice address:** 300 KAKEOUT RD, KINNELON, NJ 07405-2548
- **Practice address phone:** (973) 838-6252
- **Mailing address:** 300 KAKEOUT RD, KINNELON, NJ 07405-2548
- **Mailing address phone:** (973) 838-6252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2016
- **Last updated:** 08/29/2016