institution
Main Line Spine Surgery Center, Llc
Ambulatory Surgical Clinic/Center in King Of Prussia, Pennsylvania
NPI 1790876431

Main Line Spine Surgery Center, Llc is an Ambulatory Surgical Clinic/Center based in King Of Prussia, PA and is specialized in Ambulatory Surgical. Main Line Spine Surgery Center, Llc practices in King Of Prussia, PA. The NPI Number for Main Line Spine Surgery Center, Llc is 1790876431 and holds a License No. 1787 (Pennsylvania).

The current practice location address for Main Line Spine Surgery Center, Llc is 700 S Henderson Rd, King Of Prussia, PA and can be reached out via phone at 610-337-2828 and via fax at 610-337-2955.

Location: 700 S Henderson Rd, King Of Prussia, PA, 19406
institution
Provider Profile Details
NPI Number
1790876431
Provider Name
Main Line Spine Surgery Center, Llc
Credential
Provider Entity Type
Organization
Address
700 S Henderson Rd, King Of Prussia, PA, 19406
Phone Number
610-337-2828
Fax Number
610-337-2955
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00294957 01 PA RAILROAD MEDICARE
0006763000 01 PA INDEPENDENCE BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
700 S Henderson Rd
City
State
Zip
19406
Phone Number
610-337-2828
Fax Number
610-337-2955
person
Provider Business Mailing Address Details
Address
700 S Henderson Rd
City
State
Zip
19406
Phone Number
610-337-2828
Fax Number
610-337-2955
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
1787 (Pennsylvania)
Definition
Definition to come...
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