Academic Otolaryngology Associates, LLC

NPI #1952724072 in Darby, Pennsylvania

Provider Information

NPI Number: 1952724072
Entity Type: Organization
Organization Name: Academic Otolaryngology Associates, LLC
Primary Specialty: Otolaryngology
Enumeration Date: Jan 24, 2014
Last Updated: Jan 24, 2014

Practice Location

Address: 1501 LANSDOWNE AVE STE 209
City: Darby
State: Pennsylvania
ZIP Code: 19023-1333
Phone: (484) 494-5515

Authorized Official

Name: MAHMOUD GHADERI, D.O.
Title: PROPRIETOR
Phone: (484) 494-5595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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