MAIN LINE RADIATION ONCOLOGY PC NPI 1962402172

NPI Information

  • NPI: 1962402172
  • Provider Name: MAIN LINE RADIATION ONCOLOGY PC
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Address: 100 E LANCASTER AVE
    WYNNEWOOD, PA
    ZIP 19096
  • Phone: (610) 645-2433

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NPI Details

MAIN LINE RADIATION ONCOLOGY PC is a radiation oncology radiology in Wynnewood, PA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. MAIN LINE RADIATION ONCOLOGY PC NPI is 1962402172. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 E LANCASTER AVE
WYNNEWOOD, PA
ZIP 19096-450
Phone: (610) 645-2433

The provider's authorized official is Linna Li .
The authorized official title is Physician and has the following contact phone number (484) 476-2433.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 3/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10016753680001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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