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Contact Information

GAURAV JAIN, MD
100 E LANCASTER AVE STE 256
WYNNEWOOD, PA19096
 Phone: 610-642-6437
 Fax: 610-642-1582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for GAURAV JAIN · (Male)

NPI Number 1912206301
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2011
Last updated 06/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD447028
Hospital affiliation(s)
  • MAIN LINE HOSPITAL BRYN MAWR CAMPUS - (Acute Care)
    130 SOUTH BRYN MAWR AVE
    BRYN MAWR, PA 19010
  • MAIN LINE HOSPITAL LANKENAU - (Acute Care)
    100 LANCASTER AVE
    WYNNEWOOD, PA 19096
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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