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Organization
MAIN LINE REPRODUCTIVE SURGERY CENTER PC
Active
Organization
MAIN LINE REPRODUCTIVE SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PEARSON (REVENUE CYCLE MANAGER)
(484) 645-9700
Entity
Organization
Contact information
Practice address
825 OLD LANCASTER RD STE 170, BRYN MAWR, PA 19010-3234
(610) 527-0800
Mailing address
4828 LOOP CENTRAL DR STE 900, HOUSTON, TX 77081-2220
(484) 645-9700
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/22/2022
Last updated
10/11/2023
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