Provider Demographics
NPI:1437243920
Name:MAIN LINE HAND SURGERY, PC
Entity Type:Organization
Organization Name:MAIN LINE HAND SURGERY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-642-8823
Mailing Address - Street 1:100 LANCASTER AVENUE
Mailing Address - Street 2:SUITE 253 LANKENAU MEDICAL BLDG. E
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096
Mailing Address - Country:US
Mailing Address - Phone:610-642-8823
Mailing Address - Fax:610-896-2186
Practice Address - Street 1:100 LANCASTER AVENUE
Practice Address - Street 2:SUITE 253 LANKENAU MEDICAL BLDG. E
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096
Practice Address - Country:US
Practice Address - Phone:610-642-8823
Practice Address - Fax:610-896-2186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032165E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001601628OtherPERSONAL CHOICE
PA2280763000OtherKEYSTONE
PA2280763000OtherKEYSTONE
PA000145644Medicare ID - Type Unspecified