| Modern Family Medicine Main Line Llc | |
|
864 County Line Rd Bryn Mawr PA 19010-2516 | |
| (484) 222-6222 | |
| Not Available |
| Full Name | Modern Family Medicine Main Line Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 864 County Line Rd, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | David Ho (OWNER) |
| Authorized Official Contact | 4842226222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Family Medicine Main Line Llc 864 County Line Rd Bryn Mawr PA 19010-2516 Ph: (484) 222-6222 | Modern Family Medicine Main Line Llc 864 County Line Rd Bryn Mawr PA 19010-2516 Ph: (484) 222-6222 |
| NPI Number | 1245736446 |
|---|---|
| Provider Enumeration Date | 04/05/2018 |
| Last Update Date | 04/05/2018 |
| Medicare PECOS PAC ID | 4789947995 |
|---|---|
| Medicare Enrollment ID | O20180420000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245736446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David M Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083856918 PECOS PAC ID: 6305986779 Enrollment ID: I20091215000522 |
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