# MAIN LINE HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851636591
- **Authorized official:** ROBERT WITTMAN M.H.S. (THERAPIST)
- **Authorized official phone:** (484) 565-1130

## Contact information

- **Practice address:** 401 PILGRIM LN, SUITE 103, DREXEL HILL, PA 19026-5000
- **Practice address phone:** (484) 476-6543
- **Mailing address:** 479 PILGRIM LA, SUITE 103, DREXEL HILL, PA 19026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 12/06/2012