Main Line Behavioral Health Affiliates | |
1 Radnor Corporate Ctr Suite 400 Radnor PA 19087-4515 | |
(610) 254-1450 | |
Not Available |
Full Name | Main Line Behavioral Health Affiliates |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1 Radnor Corporate Ctr, Radnor, Pennsylvania |
Authorized Official Name and Position | Michael J Buongiorno (EXEC. VP & CFO) |
Authorized Official Contact | 4843378481 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Line Behavioral Health Affiliates 950 E Haverford Rd Suite 110 Bryn Mawr PA 19010-3850 Ph: (610) 526-8480 | Main Line Behavioral Health Affiliates 1 Radnor Corporate Ctr Suite 400 Radnor PA 19087-4515 Ph: (610) 254-1450 |
NPI Number | 1083777239 |
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Provider Enumeration Date | 12/19/2006 |
Last Update Date | 05/18/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083777239 | NPI | - | NPPES |
293195 | Other | VALUEOPTIONS - MLA | |
471443000 | Other | MAGELLAN - MLA | |
2089835 | Other | CIGNA - CAD EXTON | |
2983830 | Other | AETNA HMO - CAD DREX HILL | |
2089834 | Other | CIGNA - CAD DREXEL HILL | |
231200000 | Other | MAGELLAN - CAD EXTON | |
280110000 | Other | MAGELLAN - CAD DREXEL HIL | |
0664704000 | Other | IBC - BMR PSYCH ASSOC | |
1007726370011 | Medicaid | PA | |
101825 | Other | UNITED - CAD ADOLESCENT | |
2317419000 | Other | IBC - MLA | |
101823 | Other | UNITED - CAD - ADULT PHP | |
101824 | Other | UNITED - CAD ADULT IOP | |
2983910 | Other | AETNA HMO - CAD EXTON | |
0470009 | Other | AETNA HMO - BMR PSYCH | |
7985197 | Other | AETNA PPO - MLA |
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Trustees Of The University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 Fax: 610-902-2040 | |
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