Organization
MAIN LINE PLASTIC SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND JEAN MD (PRESIDENT)
(484) 222-0010
Entity
Organization
Contact information
Practice address
945 E HAVERFORD RD STE 102, BRYN MAWR, PA 19010-3814
(484) 222-0010
(484) 388-4388
Mailing address
945 E HAVERFORD RD SUITE 102, BRYN MAWR, PA 19010
(484) 222-0010
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
04/19/2018
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