Organization
MAIN LINE CARDIOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT M GERBER MD (PRESIDENT)
(610) 647-2400
Entity
Organization
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(610) 647-2400
(610) 647-3902
Mailing address
PAOLI MEMORIAL HOSPITAL BLDG 2, PAOLI, PA 19301-1763
(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
05
—
0010769160008
—
PA
Enumeration date
05/18/2009
Last updated
05/18/2009
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