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Contact Information

INTEGRATIVE MEDICINE & WELLNESS INC
7900 SUDLEY RD STE 416
MANASSAS, VA20109-2806
 Phone: 703-563-3804
 Fax: 877-409-1647
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Integrative Medicine

202D00000X
Indicates primary specialty

NPI Profile & details for INTEGRATIVE MEDICINE & WELLNESS INC

NPI # 1619792256
LBN Legal business name INTEGRATIVE MEDICINE & WELLNESS INC
Authorized official MARIYA BOURGET - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2024
Last updated 05/12/2026 - About 3 weeks ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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