Integrative Medicine And Biofeedback Clinic
Family Medicine in Mount Laurel, NJ. Organization (NPI-2).
NPI number1881742369
StatusActive
Last updated in NPPESSep 11, 2008
Details
- NPI
- 1881742369
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrative Medicine And Biofeedback Clinic
- Organization subpart
- No
- Enumeration date
- Jan 8, 2007
- Last updated
- Sep 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB05189200 | NJ | Yes |
| 246ZE0500X | Specialist/Technologist, Other, EEG | – | – | |
| 175F00000X | Naturopath | – | – | |
| 175L00000X | Homeopath | – | – | |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | |
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | |
| 103TC0700X | Psychologist, Clinical | – | NJ |
Practice location
813 E Gate Dr Ste BMount Laurel, NJ 08054-1238
Phone 856-222-9965 · Fax 856-222-9916
Mailing address
813 E Gate Dr Ste BMount Laurel, NJ 08054-1238
Phone 856-222-9965 · Fax 856-222-9916
Authorized official
C. Samuel Verghese
Clinical Director
8562229965
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