Main Line Gastroenterology Associates, PC
NPI #1053557082 in Paoli, Pennsylvania
Provider Information
- NPI Number
- 1053557082
- Entity Type
- Organization
- Organization Name
- Main Line Gastroenterology Associates, PC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Dec 22, 2008
- Last Updated
- Dec 22, 2008
Practice Location
- Address
- 255 W LANCASTER AVE
- Address 2
- PAOLI MEDICAL BUILDING, SUITE 332
- City
- Paoli
- State
- Pennsylvania
- ZIP Code
- 19301-1763
- Phone
- (610) 644-6755
Authorized Official
- Name
- ELLIE SUDER
- Title
- BILLING MANAGER
- Phone
- (215) 723-2333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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