Organization
INTEGRATIVE MEDICINE AND BIOFEEDBACK CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. SAMUEL VERGHESE MD(AM), PHD (CLINICAL DIRECTOR)
(856) 222-9965
Entity
Organization
Contact information
Practice address
813 E GATE DR STE B, MOUNT LAUREL, NJ 08054-1238
(856) 222-9965
(856) 222-9916
Mailing address
813 E GATE DR STE B, MOUNT LAUREL, NJ 08054-1238
(856) 222-9965
(856) 222-9916
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NJ
133NN1002X
Nutrition Education Nutritionist
—
—
175F00000X
Naturopath
—
—
175L00000X
Homeopath
—
—
207Q00000X
Family Medicine Physician
Primary
25MB05189200
NJ
246ZE0500X
EEG Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
01/08/2007
Last updated
09/11/2008
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