Organization
MAIN LINE HEALTH IMAGING LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY ZEGEL MD (PRESIDENT)
(610) 645-2738
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(610) 645-2738
(610) 645-3325
Mailing address
PO BOX 256, PAOLI, PA 19301-0256
(888) 222-8012
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
473120
HIGHMARK BLUE SHIELD
—
Enumeration date
09/24/2007
Last updated
09/24/2007
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