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Organization

INTEGRATED DIABETES SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY SCHEINER MS, CDE (OWNER/CLINICAL DIRECTOR)
(610) 642-6055
Entity
Organization

Contact information

Practice address
333 E LANCASTER AVE, SUITE 204, WYNNEWOOD, PA 19096-1929
(610) 642-6055
(610) 642-8046
Mailing address
333 E LANCASTER AVE, SUITE 204, WYNNEWOOD, PA 19096-1929
(610) 642-6055
(610) 642-8046

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
12/21/2009
Last updated
12/21/2009
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