Organization
MAIN LINE CARDIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT MARK GERBER MD (PRESIDENT MAIN LINE CARDIOLOGY ASSO)
(610) 647-2400
Entity
Organization
Contact information
Practice address
PAOLI MEMORIAL MEDICAL, BLDG 2 STE 328, PAOLI, PA 19301
(610) 647-2400
(610) 647-3902
Mailing address
PAOLI MEMORIAL MEDICAL, BLDG 2 STE 328, PAOLI, PA 19301
(610) 647-2400
(610) 647-3902
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000274401
AMERICHOICE
PA
05
—
001076916009
—
PA
01
—
0093111
US HEALTHCARE
PA
01
—
01010769160007
AMERIHEALTH AHPA
PA
01
—
0108847000
AMERIHEALTH KEYSTONE NJ
PA
01
—
018847000
KEYSTONE
PA
01
—
1010783
AETNA PPO
PA
01
—
500661
PA BLUE SHIELD
PA
01
—
CF4261
TRAVELERS MEDICARE
PA
Enumeration date
05/26/2006
Last updated
04/20/2008
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