# MAIN LINE PA ENDOSCOPY ASC LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Main Line Endoscopy Center Bala Cynwyd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235239054
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 333 E CITY LINE AVE, TWO BALA PLAZA, SUITE 30, BALA CYNWYD, PA 19004-1501
- **Practice address phone:** (610) 644-7274
- **Practice address fax:** (610) 644-7276
- **Mailing address:** 1A BURTON HILLS BLVD \# L&C, STE 300, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 240-3820
- **Mailing address fax:** (615) 234-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 16701501 | PA | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 03/07/2024