Organization · Type 2 NPI
Main Line PA Endoscopy Asc LP
Ambulatory Surgical Clinic/Center · Bala Cynwyd, PA
NPI number
1235239054
Active
Practice location
333 E City Line Ave, Two Bala Plaza, Suite 30
Bala Cynwyd, PA 19004-1501
Fax (610) 644-7276
Mailing address
1A Burton Hills Blvd # L&c, Ste 300
Nashville, TN 37215-6187
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 16701501 (PA) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1235239054
Main Line PA Endoscopy Asc LP's National Provider Identifier is 1235239054, issued on Sep 22, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Bala Cynwyd, PA. The record was last updated on Mar 7, 2024.