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Organization
MAIN LINE FAMILY MEDICINE INC
Active
Organization
MAIN LINE FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TETYANA ZELENSKA MD (PHYSICIAN)
(610) 420-3456
Entity
Organization
Contact information
Practice address
1450 E BOOT RD, STE. 200A, WEST CHESTER, PA 19380-5300
(610) 420-3456
Mailing address
1450 E BOOT RD STE 200A, WEST CHESTER, PA 19380-5999
(610) 420-3456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLYING
—
PA
Enumeration date
06/15/2007
Last updated
04/11/2025
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