Provider Demographics
NPI:1598380511
Name:INTEGRATIVE MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:INTEGRATIVE MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-820-1649
Mailing Address - Street 1:560 SYLVAN AVE STE 1000
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-3126
Mailing Address - Country:US
Mailing Address - Phone:201-649-6108
Mailing Address - Fax:
Practice Address - Street 1:560 SYLVAN AVE STE 1000
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07632-3126
Practice Address - Country:US
Practice Address - Phone:973-474-8290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies