Organization
MAINLINE HEALTH ASSOCIATES
Active
Organization
MAINLINE HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED S J KIDWAI MD (PRESIDENT)
(610) 667-1115
Entity
Organization
Contact information
Practice address
2 BALA PLZ, STE IL50, BALA CYNWYD, PA 19004-1501
(610) 667-1115
(610) 667-8008
Mailing address
2 BALA PLZ, STE IL50, BALA CYNWYD, PA 19004-1501
(610) 667-1115
(610) 667-8008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD433668
PA
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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