Organization
INTEGRATIVE MEDICINE & WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIYA BOURGET MD (OWNER)
(703) 863-3029
Entity
Organization
Contact information
Practice address
7900 SUDLEY RD STE 416, MANASSAS, VA 20109-2806
(703) 563-3804
(877) 409-1647
Mailing address
7900 SUDLEY RD STE 416, MANASSAS, VA 20109-2806
(703) 563-3804
(866) 611-2705
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
05/12/2026
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