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Organization

INTEGRATED MEDICAL GROUP, P.C.

Active
Parent organization
INTEGRATED MEDICAL GROUP, P.C.
Other names
IMG Podiatry
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTEGRATED MEDICAL GROUP, P.C.
Authorized official
JOSEPH C PILLUS (CHIEF EXECUTIVE OFFICER)
(570) 622-5455
Entity
Organization

Contact information

Practice address
1626 MOUNT HOPE AVE, POTTSVILLE, PA 17901-1302
(570) 622-2230
(570) 622-5724
Mailing address
48 TUNNEL RD, SUITE 203, POTTSVILLE, PA 17901-3875
(570) 622-5455
(570) 622-5493

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
10/06/2011
Last updated
10/06/2011
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