Organization
MAIN LINE ONCOLOGY HEMATOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISSA L LOVE (REVENUE CYCLE SUPERVISOR)
(610) 645-2494
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, CANCER CENTER, WYNNEWOOD, PA 19096-3450
(610) 645-2494
(610) 645-4452
Mailing address
100 E LANCASTER AVE STE B20, WYNNEWOOD, PA 19096-3450
(610) 645-2494
(610) 645-4456
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012692
PA
Other
Enumeration date
01/17/2013
Last updated
08/03/2021
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