Organization
MAIN LINE ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER A HOLDEN (PRESIDENT OF THE GENERAL PARTNER)
(615) 665-1283
Entity
Organization
Contact information
Practice address
325 CENTRAL AVE, MALVERN, PA 19355-3265
(610) 644-7274
(610) 644-7276
Mailing address
PO BOX 340, SELLERSVILLE, PA 18960-0340
(215) 723-2333
(215) 723-9112
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
16701501
PA
261QE0800X
Endoscopy Clinic/Center
Primary
15801501
PA
Other
Enumeration date
02/28/2006
Last updated
12/19/2007
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