| Organization Name: | MAINLINE BODYBRAIN&SPINE, P.C. |
| NPI Number: | 1215346879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GINA MARIA BENAQUISTA DESIPIO (PRESIDENT) |
| Mailing Address: | 118 Conway Ave Narberth |
| State: | PA US |
| Postal Code: | 190722202 |
| Phone Number: | 2152840509 |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2014 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2081P0004X |
| License Number: | OS015314 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Physical Medicine & Rehabilitation |
| Taxonomy Specialization: | Spinal Cord Injury Medicine |
| Taxonomy Definition: | A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |