# EAR NOSE & THROAT OF THE UPPER MAIN LINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAR NOSE & THROAT OF THE UPPER MAIN LINE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316336225
- **Legal business name:** EAR NOSE & THROAT OF THE UPPER MAIN LINE LLC
- **Authorized official:** DR. JOSEPH M ARDITO MD (PHYSICIAN)
- **Authorized official phone:** (610) 296-5600

## Contact information

- **Practice address:** 15 INDUSTRIAL BLVD, SUITE 102, PAOLI, PA 19301-1608
- **Practice address phone:** (610) 296-5600
- **Practice address fax:** (610) 296-3308
- **Mailing address:** 15 INDUSTRIAL BLVD, SUITE 102, PAOLI, PA 19301-1608
- **Mailing address phone:** (610) 296-5600
- **Mailing address fax:** (610) 296-3308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | MD024840E | PA | Yes |

## Other

- **Enumeration date:** 01/15/2015
- **Last updated:** 01/15/2015