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Organization
MAIN LINE VASCULAR INSTITUTE LLC
Active
Organization
MAIN LINE VASCULAR INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES F MCGUCKIN MD (CEO)
(215) 382-3680
Entity
Organization
Contact information
Practice address
700 S HENDERSON RD, SUITE 304A, KING OF PRUSSIA, PA 19406-3530
(215) 382-3680
Mailing address
700 S HENDERSON RD STE 225, KING OF PRUSSIA, PA 19406-3530
(215) 382-3680
(215) 240-1677
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
03/24/2020
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