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1245736446
MODERN FAMILY MEDICINE MAIN LINE LLC
BRYN MAWR, PA
NPI
1245736446
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Entity Type
Organization
Authorized Contact
DAVID HO
Owner
484-222-6222
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-04-05
Last Update Date
2018-04-05
Business Address
MODERN FAMILY MEDICINE MAIN LINE LLC
864 COUNTY LINE RD
BRYN MAWR, PA 19010-2516
Phone number: 484-222-6222
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Mailing Address
MODERN FAMILY MEDICINE MAIN LINE LLC
864 COUNTY LINE RD
BRYN MAWR, PA 19010-2516
Phone number: 484-222-6222
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