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Contact Information

MB INTEGRATIVE MEDICINE LLC
6782 GERMANTOWN AVE
PHILADELPHIA, PA19119-2110
 Phone: 267-506-0642
 Fax: 267-502-3000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for MB INTEGRATIVE MEDICINE LLC

NPI Number 1962872861
LBN Legal business name MB INTEGRATIVE MEDICINE LLC
Authorized official MELISSA BORRERO - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2015
Last updated 10/05/2015 - About 11 years 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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