Organization
MAIN LINE FERTILITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GLASSNER M.D. (PRESIDENT)
(610) 526-8950
Entity
Organization
Contact information
Practice address
130 S BRYN MAWR AVE, GROUND FLOOR D WING, BRYN MAWR, PA 19010-3121
(610) 526-8950
(610) 526-8979
Mailing address
130 S BRYN MAWR AVE, GROUND FLOOR D WING, BRYN MAWR, PA 19010-3121
(610) 526-8950
(610) 526-8979
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1687035
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/04/2006
Last updated
08/22/2020
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