# MAIN LINE SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1134987357
- **Authorized official:** ARSELA GJELI (ADMINISTRATOR)
- **Authorized official phone:** (267) 401-8512

## Contact information

- **Practice address:** 333 E. CITY AVENUE, 2 BALA PLAZA PL35, BALA CYNWYD, PA 19004
- **Practice address phone:** (267) 401-8512
- **Mailing address:** 2 BALA PLAZA PL35, 333 E. CITY AVENUE, BALA CYNWYD, PA 19004
- **Mailing address phone:** (267) 401-8512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2024
- **Last updated:** 04/24/2024