Organization
MAIN LINE INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELANA KRIPKE MD (PHYSICIAN)
(610) 695-9878
Entity
Organization
Contact information
Practice address
11 INDUSTRIAL BLVD, SUITE 101, PAOLI, PA 19301-1632
(610) 695-9878
Mailing address
11 INDUSTRIAL BLVD, SUITE 101, PAOLI, PA 19301-1632
(610) 695-9878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD046844L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001280938004
—
PA
Enumeration date
12/04/2006
Last updated
01/29/2008
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