Organization
MAIN LINE GASTROENTEROLOGY ASSOCIATES, PC
Active
Organization
MAIN LINE GASTROENTEROLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH J. LASKIN M.D. (SECRETARY)
(610) 644-6755
Entity
Organization
Contact information
Practice address
325 CENTRAL AVE, 2ND FLOOR, MALVERN, PA 19355-3265
(610) 644-6755
(610) 647-2063
Mailing address
PO BOX 350, SELLERSVILLE, PA 18960-0350
(215) 723-2333
(215) 723-9112
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015085480009
—
PA
01
—
CA1051
RAILROAD
PA
Enumeration date
03/01/2006
Last updated
08/05/2009
Update your record
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