Main Line Oncology Hematology Assoc
NPI #1508104043 in Wynnewood, Pennsylvania
Provider Information
- NPI Number
- 1508104043
- Entity Type
- Organization
- Organization Name
- Main Line Oncology Hematology Assoc
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Jan 17, 2013
- Last Updated
- Aug 3, 2021
Practice Location
- Address
- 100 E LANCASTER AVE
- Address 2
- CANCER CENTER
- City
- Wynnewood
- State
- Pennsylvania
- ZIP Code
- 19096-3450
- Phone
- (610) 645-2494
Authorized Official
- Name
- CHRISSA L LOVE
- Title
- REVENUE CYCLE SUPERVISOR
- Phone
- (610) 645-2494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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