| NPI | 1750666566 |
|---|---|
| Doing Business As | MAIN LINE CENTER FOR LASER SURGERY |
| Entity Type | Organization |
| Authorized Contact | ERIC F. BERNSTEIN Medical Director 610-645-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD045790L) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD432401) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-18 |