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Organization
MINIMALLY INVASIVE CARE INSTITUTE OF MAIN LINE LLC
Active
Organization
MINIMALLY INVASIVE CARE INSTITUTE OF MAIN LINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MCGUCKIN MD (CEO)
(484) 808-5220
Entity
Organization
Contact information
Practice address
700 S HENDERSON RD STE 225, KING OF PRUSSIA, PA 19406-3530
(484) 808-5220
Mailing address
700 S HENDERSON RD STE 225, KING OF PRUSSIA, PA 19406-3530
(484) 808-5220
(484) 679-1821
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/15/2017
Last updated
05/19/2021
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