Mainline Health Associates

NPI #1386984052 in Bala Cynwyd, Pennsylvania

Provider Information

NPI Number: 1386984052
Entity Type: Organization
Organization Name: Mainline Health Associates
Primary Specialty: Internal Medicine
Enumeration Date: Feb 18, 2013
Last Updated: Feb 18, 2013

Practice Location

Address: 2 BALA PLZ
Address 2: STE IL50
City: Bala Cynwyd
State: Pennsylvania
ZIP Code: 19004-1501
Phone: (610) 667-1115

Authorized Official

Name: MOHAMMED S J KIDWAI, MD
Title: PRESIDENT
Phone: (610) 667-1115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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