Organization Name: | MAIN LINE CARDIOLOGY ASSOCIATES PC |
NPI Number: | 1033165592 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLIOT MARK GERBER (PRESIDENT MAIN LINE CARDIOLOGY ASSO) |
Mailing Address: | Paoli Memorial Medical Bldg 2 Ste 328 Paoli |
State: | PA US |
Postal Code: | 19301 |
Phone Number: | 6106472400 |
Fax Number: | 6106473902 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |