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Organization
MODERN FAMILY MEDICINE MAIN LINE LLC
Active
Organization
MODERN FAMILY MEDICINE MAIN LINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HO MD (OWNER)
(484) 222-6222
Entity
Organization
Contact information
Practice address
864 COUNTY LINE RD, BRYN MAWR, PA 19010-2516
(484) 222-6222
Mailing address
864 COUNTY LINE RD, BRYN MAWR, PA 19010-2516
(484) 222-6222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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