Organization
MB INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA BORRERO MD (OWNER/PHYSICIAN)
(267) 506-0642
Entity
Organization
Contact information
Practice address
6782 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2110
(267) 506-0642
(267) 502-3000
Mailing address
6803 EMLEN ST, APT 209, PHILADELPHIA, PA 19119-2635
(267) 506-0642
(267) 502-3000
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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