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Organization
DREXEL UNIVERSITY
Active
Organization
DREXEL UNIVERSITY
Active
Other names
Pennsylvania Ear Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD E WALDOV (DIRECTOR OF REVENUE CYCLE)
(215) 255-7751
Entity
Organization
Contact information
Practice address
8380 OLD YORK RD, STE 120, ELKINS PARK, PA 19027-1539
(215) 886-8660
(215) 886-8856
Mailing address
8380 OLD YORK RD, STE 120, ELKINS PARK, PA 19027-1539
(215) 886-8660
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013771350001
—
PA
05
—
1013771350002
—
PA
Enumeration date
06/23/2005
Last updated
04/04/2025
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