| Philadelphia Integrative Medicine | |
|
200 Eagle Rd Ste 208 Wayne PA 19087-3115 | |
| (888) 702-7974 | |
| (888) 702-7974 |
| Full Name | Philadelphia Integrative Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 200 Eagle Rd Ste 208, Wayne, Pennsylvania |
| Authorized Official Name and Position | Georgia Katherine Tetlow (CEO/OWNER) |
| Authorized Official Contact | 8887027974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philadelphia Integrative Medicine 200 Eagle Rd Ste 208 Wayne PA 19087-3115 Ph: (888) 702-7974 | Philadelphia Integrative Medicine 200 Eagle Rd Ste 208 Wayne PA 19087-3115 Ph: (888) 702-7974 |
| NPI Number | 1083035653 |
|---|---|
| Provider Enumeration Date | 12/26/2013 |
| Last Update Date | 03/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083035653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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