Provider Demographics
NPI:1871936559
Name:THE INTEGRATION GROUP,LLC
Entity type:Organization
Organization Name:THE INTEGRATION GROUP,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARTELLONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-708-4048
Mailing Address - Street 1:5430 CAMPBELL BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-5503
Mailing Address - Country:US
Mailing Address - Phone:443-708-4048
Mailing Address - Fax:443-708-7988
Practice Address - Street 1:5430 CAMPBELL BLVD STE 106
Practice Address - Street 2:
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21162-5503
Practice Address - Country:US
Practice Address - Phone:443-708-4048
Practice Address - Fax:443-708-7988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty