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Contact Information

NEURODEVELOPMNETAL PEDIATRICS OF THE MAIN LINE PC
919 CONESTOGA RD
BUILDING 1, SUITE 100
BRYN MAWR, PA19010-1352
 Phone: 610-520-2130
 Fax: 610-520-2131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for NEURODEVELOPMNETAL PEDIATRICS OF THE MAIN LINE PC

NPI # 1124250956
LBN Legal business name NEURODEVELOPMNETAL PEDIATRICS OF THE MAIN LINE PC
Authorized official JAMES COPLAN - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2009
Last updated 08/12/2009 - About 17 years ago
Identifiers
PA License # MD 016736-E
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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