Organization
INTEGRATED MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J MCCULLEY (OFFICE MANAGER)
(610) 944-0464
Entity
Organization
Contact information
Practice address
805 N RICHMOND ST, FLEETWOOD, PA 19522-1058
(610) 944-0464
Mailing address
4 RAVENS CT, READING, PA 19606-3551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016169
PA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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