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Organization
MAIN LINE FAMILY PRACTICE
Active
Organization
MAIN LINE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIA LIANE HARGROVE MD (SECRETARY)
(484) 995-7741
Entity
Organization
Contact information
Practice address
888 GLENBROOK AVE, BRYN MAWR, PA 19010-2506
(610) 525-2990
Mailing address
227 WINSOR LN, HAVERFORD, PA 19041-1822
(610) 642-7741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 430289
PA
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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