MB Integrative Medicine LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MB INTEGRATIVE MEDICINE LLC

Practice address

6782 Germantown Ave
Philadelphia, PA 19119-2110

Phone

(267) 506-0642

Fax

(267) 502-3000

NPI assigned

Oct 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Melissa Borrero, MD

Title

Owner/Physician

Phone

(267) 506-0642

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1962872861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 EMLEN ST",
            "address_2": "APT 209",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192635",
            "telephone_number": "267-506-0642",
            "fax_number": "267-502-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6782 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192110",
            "telephone_number": "267-506-0642",
            "fax_number": "267-502-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "BORRERO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "267-506-0642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazzoni Center
• Mazzoni Center
• Linda Mazzotta
• Madeline Grace Mazzotta, LSW
• Maria Mazzotti, DO
• Ezinne Mbata, COTA
• Hannah Mbony, MD
• MC Cares LLC
• MC Drugs Inc (Hopkins Pharmacy)
• MC Drugs Inc

• Medical Specialty Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.