Organization
MAIN LINE OPHTHALMOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH S SANDO MD (DIRECTOR)
(610) 649-7616
Entity
Organization
Contact information
Practice address
100 CHURCH RD, SUITE 100, ARDMORE, PA 19003-2316
(610) 649-7616
(610) 649-6146
Mailing address
100 CHURCH RD, SUITE 100, ARDMORE, PA 19003-2316
(610) 649-7616
(610) 649-6146
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0468327000
IBC
PA
Enumeration date
07/05/2006
Last updated
08/22/2020
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