Organization
EAR NOSE & THROAT OF THE UPPER MAIN LINE LLC
Active
Parent organization
EAR NOSE & THROAT OF THE UPPER MAIN LINE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAR NOSE & THROAT OF THE UPPER MAIN LINE LLC
Authorized official
DR. JOSEPH M ARDITO MD (PHYSICIAN)
(610) 296-5600
Entity
Organization
Contact information
Practice address
15 INDUSTRIAL BLVD, SUITE 102, PAOLI, PA 19301-1608
(610) 296-5600
(610) 296-3308
Mailing address
15 INDUSTRIAL BLVD, SUITE 102, PAOLI, PA 19301-1608
(610) 296-5600
(610) 296-3308
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD024840E
PA
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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