MAIN LINE PLASTIC SURGERY&LASER ASSOCIATES – NPI #1356586028
Clinic/Center

MAIN LINE PLASTIC SURGERY&LASER ASSOCIATES is an AHC clinic located in KING OF PRUSSIA, PA. NPPES has assigned the NPI number 1356586028 to MAIN LINE PLASTIC SURGERY&LASER ASSOCIATES on December 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAIN LINE PLASTIC SURGERY&LASER ASSOCIATES below.

NPI Profile for
MAIN LINE PLASTIC SURGERY&LASER ASSOCIATES

NPI Number
1356586028
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAIN LINE PLASTIC SURGERY&LASER ASSOCIATES
Primary location
216 MALL BLVD
SUITE 101
KING OF PRUSSIA, PA 19406-2923
Phone: (610) 354-8800 Fax: (610) 354-9066
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD GLUNK
PRESIDENT
Phone: (610) 354-8800
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 PA 15511501

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.