1083777239 MAIN LINE AFFILIATES

Psychiatry Physician

Active

Basic Information

Organization Name
MAIN LINE AFFILIATES
Enumeration Date
December 19, 2006
Last Update
May 18, 2016
Authorized Official
MR. MICHAEL J BUONGIORNO
EXEC. VP & CFO
Phone: (484) 337-8481

Practice Location

Address
1 RADNOR CORPORATE CTR
SUITE 400
RADNOR, PA 190874515
Phone
(610) 254-1450

Mailing Address

Address
950 E HAVERFORD RD
SUITE 110
BRYN MAWR, PA 190103850
Phone
(610) 526-8480

Specialties & Taxonomies

Specialty Code Classification License State Primary
Clinical Neuropsychologist
 103G00000X Clinical Neuropsychologist N/A N/A No
Psychologist
 103T00000X Psychologist N/A N/A No
Substance Use Disorder Rehabilitation Clinic/Center
Rehabilitation, Substance Use Disorder
 261QR0405X Clinic/Center 237078 PA No
Substance Use Disorder Rehabilitation Clinic/Center
Rehabilitation, Substance Use Disorder
 261QR0405X Clinic/Center 151081 PA No
Clinical Psychologist
Clinical
 103TC0700X Psychologist N/A N/A No
Rehabilitation Psychologist
Rehabilitation
 103TR0400X Psychologist N/A N/A No
Addiction (Substance Use Disorder) Counselor
Addiction (Substance Use Disorder)
 101YA0400X Counselor N/A N/A No
Addiction Psychiatry Physician
Addiction Psychiatry
 2084P0802X Psychiatry & Neurology N/A N/A No
Child & Adolescent Psychiatry Physician
Child & Adolescent Psychiatry
 2084P0804X Psychiatry & Neurology N/A N/A No
Adult Mental Health Clinic/Center
Adult Mental Health
 261QM0850X Clinic/Center N/A N/A No
Psychiatry Physician
Psychiatry
 2084P0800X Psychiatry & Neurology N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
293195 01 N/A VALUEOPTIONS - MLA
471443000 01 N/A MAGELLAN - MLA
2089835 01 N/A CIGNA - CAD EXTON
2983830 01 N/A AETNA HMO - CAD DREX HILL
2089834 01 N/A CIGNA - CAD DREXEL HILL
231200000 01 N/A MAGELLAN - CAD EXTON
280110000 01 N/A MAGELLAN - CAD DREXEL HIL
0664704000 01 N/A IBC - BMR PSYCH ASSOC
1007726370011 05 PA N/A
101825 01 N/A UNITED - CAD ADOLESCENT
2317419000 01 N/A IBC - MLA
101823 01 N/A UNITED - CAD - ADULT PHP
101824 01 N/A UNITED - CAD ADULT IOP
2983910 01 N/A AETNA HMO - CAD EXTON
0470009 01 N/A AETNA HMO - BMR PSYCH
7985197 01 N/A AETNA PPO - MLA

Frequently Asked Questions

What is MAIN LINE AFFILIATES's NPI number?
MAIN LINE AFFILIATES's NPI number is 1083777239.
Which doctor has NPI number 1083777239?
The doctor with NPI number 1083777239 is MAIN LINE AFFILIATES.
What is MAIN LINE AFFILIATES's practice address?
MAIN LINE AFFILIATES's practice address is 1 RADNOR CORPORATE CTR, SUITE 400, RADNOR, PA, 190874515.
Which doctor practices at 1 RADNOR CORPORATE CTR, SUITE 400, RADNOR, PA, 190874515?
MAIN LINE AFFILIATES practices at 1 RADNOR CORPORATE CTR, SUITE 400, RADNOR, PA, 190874515.
What is MAIN LINE AFFILIATES's mailing address?
MAIN LINE AFFILIATES's mailing address is 950 E HAVERFORD RD, SUITE 110, BRYN MAWR, PA, 190103850.
What is MAIN LINE AFFILIATES's phone number?
MAIN LINE AFFILIATES's phone number is (610) 254-1450.
Who is (610) 254-1450?
(610) 254-1450 is the phone number for MAIN LINE AFFILIATES.
What is MAIN LINE AFFILIATES's specialty?
MAIN LINE AFFILIATES's specialty is Psychiatry Physician.
What type of doctor is MAIN LINE AFFILIATES?
MAIN LINE AFFILIATES is a Psychiatry Physician.
Is MAIN LINE AFFILIATES a Psychiatry?
Yes, MAIN LINE AFFILIATES is a Psychiatry.
Is MAIN LINE AFFILIATES still practicing?
Yes, MAIN LINE AFFILIATES is currently practicing.
Is MAIN LINE AFFILIATES accepting new patients?
MAIN LINE AFFILIATES may be accepting new patients. Please call their office at (610) 254-1450 to inquire about availability.
Is NPI 1083777239 still active?
Yes, NPI 1083777239 is currently active.
Where does MAIN LINE AFFILIATES practice?
MAIN LINE AFFILIATES practices in RADNOR, PA.