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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