institution
Main Line Pa Endoscopy Asc Lp
Ambulatory Surgical Clinic/Center in Malvern, Pennsylvania
NPI 1023115078

Main Line Pa Endoscopy Asc Lp is an Ambulatory Surgical Clinic/Center based in Nashville, PA and is specialized in Ambulatory Surgical. Main Line Pa Endoscopy Asc Lp practices in Malvern, PA. The NPI Number for Main Line Pa Endoscopy Asc Lp is 1023115078 and holds a License No. 15801501 (Pennsylvania).

The current practice location address for Main Line Pa Endoscopy Asc Lp is 325 West Central Ave, Malvern, PA and can be reached out via phone at 610-644-7274 and via fax at 610-644-7276.

Location: 325 West Central Ave, Malvern, PA, 37215-6153
institution
Provider Profile Details
NPI Number
1023115078
Provider Name
Main Line Pa Endoscopy Asc Lp
Credential
Provider Entity Type
Organization
Address
325 West Central Ave, Malvern, PA, 37215-6153
Phone Number
610-644-7274
Fax Number
610-644-7276
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00478537 01 PA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
325 West Central Ave
City
State
Zip
19355-3219
Phone Number
610-644-7274
Fax Number
610-644-7276
person
Provider Business Mailing Address Details
Address
325 West Central Ave
City
State
Zip
19355-3219
Phone Number
610-644-7274
Fax Number
610-644-7276
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
15801501 (Pennsylvania)
Definition
Definition to come...
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