Individual
DR. DENNIS E LINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1000 N FRONT ST, SUITE 200, WORMLEYSBURG, PA 17043-1034
(717) 731-0101
(717) 441-0592
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 231-8937
(717) 231-8588
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD0016090E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006563680001
—
PA
Enumeration date
08/02/2005
Last updated
11/01/2017
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