Organization · Type 2 NPI

MB Integrative Medicine LLC

Medical Specialty Clinic/Center · Philadelphia, PA

NPI number 1962872861 Active

Practice location

6782 Germantown Ave
Philadelphia, PA 19119-2110

Fax (267) 502-3000

Mailing address

6803 Emlen St, Apt 209
Philadelphia, PA 19119-2635

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1962872861

MB Integrative Medicine LLC's National Provider Identifier is 1962872861, issued on Oct 5, 2015. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 5, 2015.