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Organization

MAIN LINE EAR, NOSE & THROAT, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER RANDALL HOVE MD (PHYSICIAN OWNER)
(610) 647-3727
Entity
Organization

Contact information

Practice address
17 INDUSTRIAL BLVD, SUITE 102, PAOLI, PA 19301-1607
(610) 647-3727
(610) 647-4969
Mailing address
17 INDUSTRIAL BLVD, SUITE 102, PAOLI, PA 19301-1607
(610) 647-3727
(610) 647-4969

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
MD431700
PA
231H00000X
Audiologist
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102498645-0001
PA
Enumeration date
08/12/2008
Last updated
03/16/2015
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