# MAIN LINE FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053559021
- **Authorized official:** DR. CLAUDIA LIANE HARGROVE MD (SECRETARY)
- **Authorized official phone:** (484) 995-7741

## Contact information

- **Practice address:** 888 GLENBROOK AVE, BRYN MAWR, PA 19010-2506
- **Practice address phone:** (610) 525-2990
- **Mailing address:** 227 WINSOR LN, HAVERFORD, PA 19041-1822
- **Mailing address phone:** (610) 642-7741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD 430289 | PA | Yes |

## Other

- **Enumeration date:** 01/29/2009
- **Last updated:** 01/29/2009
