# DREXEL UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pennsylvania Ear Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104822253
- **Authorized official:** MR. EDWARD E WALDOV (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (215) 255-7751

## Contact information

- **Practice address:** 8380 OLD YORK RD, STE 120, ELKINS PARK, PA 19027-1539
- **Practice address phone:** (215) 886-8660
- **Practice address fax:** (215) 886-8856
- **Mailing address:** 8380 OLD YORK RD, STE 120, ELKINS PARK, PA 19027-1539
- **Mailing address phone:** (215) 886-8660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 04/04/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1013771350001 | — | PA |
| 05 | — | 1013771350002 | — | PA |