# INTEGRATED WELLNESS CLINIC PC

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

## Provider details

- **NPI number:** 1437741295
- **Authorized official:** DR. JOSEPH ANDRE GARABEDIAN MD (OWNER)
- **Authorized official phone:** (610) 265-0500

## Contact information

- **Practice address:** 491 ALLENDALE RD STE 222, KING OF PRUSSIA, PA 19406-1431
- **Practice address phone:** (610) 265-0500
- **Practice address fax:** (610) 265-0502
- **Mailing address:** 491 ALLENDALE RD STE 222, KING OF PRUSSIA, PA 19406-1431
- **Mailing address phone:** (610) 265-0500
- **Mailing address fax:** (610) 265-0502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 02/03/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1154433316 | — | PA |
| 05 | — | 1972758464 | — | PA |