Main Line Emergency Med Associates Llc

LBN: Main Line Emergency Med Associates Llc
Main Line Emergency Med Associates Llc is an health care organization with primary practice located at 255 W Lancaster Ave , Paoli PA 19301-1763. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Main Line Emergency Med Associates Llc can be contacted via phone (610) 648-1043, or through Gamburg, Steven J via phone (800) 456-4629.

Contact Information

Primary practice address
255 W Lancaster Ave Paoli PA 19301-1763
Fax: (610) 648-1415
Website:
Authorized official contact:
Name: Gamburg, Steven J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1316919368
LBN Legal business name Main Line Emergency Med Associates Llc
DBA Doing business as
Authorized official Gamburg, Steven J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2006
Last updated Nov 15th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316919368 NPPES
Pennsylvania Other 0001019000 IBC
Pennsylvania Other 173870000 IBC
Pennsylvania Other 191510 IBC
Pennsylvania Other 0001107000 IBC
Pennsylvania Other 0001101000 IBC
Pennsylvania MEDICAID 0016139730026 IBC
Pennsylvania Other 20020291 IBC
Pennsylvania Other 191510 IBC
Pennsylvania MEDICAID 0016139730025 IBC
Pennsylvania Other 1043495 IBC
Pennsylvania MEDICAID 0016139730024 IBC

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