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Organization

INTEGRATED MEDICAL GROUP, P.C.

Active
Parent organization
INTEGRATED MEDICAL GROUP, P.C.
Other names
IMGPC Allergy
Organization subpart
Yes

Provider details

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

Contact information

Practice address
2210 RIDGEWOOD RD, SUITE 100, WYOMISSING, PA 19610-1287
(610) 372-0502
(610) 372-9554
Mailing address
48 TUNNEL RD, SUITE 203, POTTSVILLE, PA 17901-3875
(570) 622-5455
(570) 622-5493

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary

Other

Enumeration date
05/10/2013
Last updated
05/10/2013
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