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Contact Information

ACADEMIC OTOLARYNGOLOGY ASSOCIATES, LLC
1501 LANSDOWNE AVE STE 209
DARBY, PA19023-1333
 Phone: 484-494-5515
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ACADEMIC OTOLARYNGOLOGY ASSOCIATES, LLC

NPI Number 1952724072
LBN Legal business name ACADEMIC OTOLARYNGOLOGY ASSOCIATES, LLC
Authorized official MAHMOUD GHADERI - (PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2014
Last updated 01/24/2014 - About 12 years ago
Identifiers
PA License # OS008674L
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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