Organization
NEURODEVELOPMNETAL PEDIATRICS OF THE MAIN LINE PC
Active
Other names
Neurodevelopmental Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES COPLAN MD (OWNER/PHYSICIAN)
(610) 520-2130
Entity
Organization
Contact information
Practice address
919 CONESTOGA RD, BUILDING 1, SUITE 100, BRYN MAWR, PA 19010-1352
(610) 520-2130
(610) 520-2131
Mailing address
919 CONESTOGA RD, BUILDING 1, SUITE 100, BRYN MAWR, PA 19010-1352
(610) 520-2130
(610) 520-2131
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
MD 016736-E
PA
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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