Organization
MAIN LINE HEALTH INTEGRATIVE AND FUNCTIONAL MEDICINE
Active
Organization
MAIN LINE HEALTH INTEGRATIVE AND FUNCTIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GILBERT (PRESIDENT)
(484) 337-3570
Entity
Organization
Contact information
Practice address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073
(484) 337-1585
(484) 337-1410
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1585
(484) 337-1410
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
04/28/2022
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