Organization
ACTIVE INTEGRATED MEDICAL CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DURR (OWNER, AUTHORIZED OFFICIAL)
(610) 518-3370
Entity
Organization
Contact information
Practice address
797 E LANCASTER AVE STE 7, DOWNINGTOWN, PA 19335-3360
(610) 518-3370
Mailing address
797 E LANCASTER AVE STE 7, DOWNINGTOWN, PA 19335-3360
(610) 518-3370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/24/2020
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