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Organization
INTEGRATED MEDICINE ALLIANCE PA
Active
Organization
INTEGRATED MEDICINE ALLIANCE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN J. MULHOLLAND MD (PRESIDENT)
(732) 542-0002
Entity
Organization
Contact information
Practice address
1026 BROAD ST UNIT 18, SHREWSBURY, NJ 07702-4380
(732) 542-0002
(732) 542-2992
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/15/2005
Last updated
06/19/2025
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