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Contact Information

MAIN LINE CARDIOLOGY ASSOCIATES PC
PAOLI MEMORIAL MEDICAL
BLDG 2 STE 328
PAOLI, PA19301
 Phone: 610-647-2400
 Fax: 610-647-3902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MAIN LINE CARDIOLOGY ASSOCIATES PC

NPI Number 1033165592
LBN Legal business name MAIN LINE CARDIOLOGY ASSOCIATES PC
Authorized official ELLIOT GERBER - (PRESIDENT MAIN LINE CARDIOLOGY ASSO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 04/20/2008 - About 18 years ago
Identifiers
PA Medicaid 001076916009
PA Other 1010783 AETNA PPO
PA Other 000274401 AMERICHOICE
PA Other 01010769160007 AMERIHEALTH AHPA
PA Other 0108847000 AMERIHEALTH KEYSTONE NJ
PA Other 0108847000 BS PERSONAL CHOICE
PA Other 500661 COMMERCIAL INS
PA Other 018847000 KEYSTONE
PA Other 500661 PA BLUE SHIELD
PA Other CF4261 TRAVELERS MEDICARE
PA Other 0093111 US HEALTHCARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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