Main Line Ear, Nose & Throat, Pc | |
17 Industrial Blvd, Suite 102, Paoli, PA 19301-1607 | |
(610) 647-3727 | |
(610) 647-4969 |
Full Name | Main Line Ear, Nose & Throat, Pc |
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Type | Facility |
Speciality | Otolaryngology - Facial Plastic Surgery |
Location | 17 Industrial Blvd, Paoli, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780830620 | NPI | - | NPPES |
102498645-0001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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231H00000X | Audiologist | (Pennsylvania) | Secondary |
207YS0123X | Otolaryngology - Facial Plastic Surgery | MD431700 (Pennsylvania) | Primary |
Provider Name | Christopher R Hove |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1134230436 PECOS PAC ID: 0042308074 Enrollment ID: I20071108000565 |
Provider Name | Joanne C Greene |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1073555702 PECOS PAC ID: 8527079219 Enrollment ID: I20090731000377 |
Provider Name | Michael J Mccandless |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1497916936 PECOS PAC ID: 8628130846 Enrollment ID: I20150408001796 |
Provider Name | Melani S Mcguire |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306295167 PECOS PAC ID: 9537426994 Enrollment ID: I20171121000102 |
Mailing Address | Practice Location Address |
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Main Line Ear, Nose & Throat, Pc 17 Industrial Blvd, Suite 102, Paoli, PA 19301-1607 Ph: (610) 647-3727 | Main Line Ear, Nose & Throat, Pc 17 Industrial Blvd, Suite 102, Paoli, PA 19301-1607 Ph: (610) 647-3727 |