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Organization
INTEGRATED WELLNESS CLINIC PC
Active
Organization
INTEGRATED WELLNESS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ANDRE GARABEDIAN MD (OWNER)
(610) 265-0500
Entity
Organization
Contact information
Practice address
491 ALLENDALE RD STE 222, KING OF PRUSSIA, PA 19406-1431
(610) 265-0500
(610) 265-0502
Mailing address
491 ALLENDALE RD STE 222, KING OF PRUSSIA, PA 19406-1431
(610) 265-0500
(610) 265-0502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154433316
—
PA
05
—
1972758464
—
PA
Enumeration date
02/03/2021
Last updated
02/03/2021
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