Organization
MAIN LINE FERTILITY CLINIC PC
Active
Organization
MAIN LINE FERTILITY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE DEBENEDICTIS (VICE PRESIDENT, PAYOR RELATIONS)
(713) 254-3601
Entity
Organization
Contact information
Practice address
825 OLD LANCASTER RD STE 170, BRYN MAWR, PA 19010-3234
(610) 527-0800
Mailing address
4828 LOOP CENTRAL DR STE 900, HOUSTON, TX 77081-2220
(610) 527-0800
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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