Organization
MAIN LINE SPINE SURGERY CENTER, LLC
Active
Other names
Merion Medical Surgery Center, The Merion Building Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLENE NEGVESKY (CHIEF ADMINISTRATIVE OFFICER)
(610) 337-2828
Entity
Organization
Contact information
Practice address
700 S HENDERSON RD, STE 335, KING OF PRUSSIA, PA 19406
(610) 337-2828
(610) 337-2955
Mailing address
700 S HENDERSON RD STE 335, KING OF PRUSSIA, PA 19406-4206
(610) 337-2828
(610) 337-2955
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1787
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006763000
INDEPENDENCE BLUE CROSS
PA
01
—
P00294957
RAILROAD MEDICARE
PA
Enumeration date
09/27/2006
Last updated
03/12/2026
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