Main Line Fertility Center
Organization Active NPI Reproductive Endocrinology Physician · Bryn Mawr, PA
NPI 1265494306 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1265494306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Reproductive Endocrinology Physician 207VE0102X
- Legal business name
- MAIN LINE FERTILITY CENTER
- Practice address
- 130 S Bryn Mawr Ave
Ground Floor D Wing
Bryn Mawr, PA 19010-3121 - Phone
- (610) 526-8950
- Fax
- (610) 526-8979
- NPI assigned
- Apr 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Glassner, M.D.
- Title
- President
- Phone
- (610) 526-8950
Practitioners 1
-
Amy L Fisher, RN, CRNP
National Provider Directory
Locations
130 S Bryn Mawr Ave
Fl D
Bryn Mawr, PA 19010
Phone (610) 526-8950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician |
207VE0102X | Yes |
Addresses
Primary practice location
130 S Bryn Mawr Ave
Ground Floor D Wing
Bryn Mawr, PA 19010-3121
Mailing address
130 S Bryn Mawr Ave
Ground Floor D Wing
Bryn Mawr, PA 19010-3121
Phone (610) 526-8950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1687035 | Other | PA | HIGHMARK BLUE SHIELD |
Other providers in Bryn Mawr, PA
- Main Line Clinical Laboratories
- Main Line Counseling Partners
- Main Line Family Dentistry
- Main Line Family Practice
- Main Line Fertility & Reproductive Med LTD
- Main Line Fertility Clinic PC
- Main Line Fertility Clinic PC
- Main Line Hospitals, Inc.
- Main Line Hospitals, Inc.
- Main Line Hospitals, Inc.
All providers in Bryn Mawr, PA · Reproductive Endocrinology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.