Doctor Name: | DR. JOSEPH M ARDITO |
NPI Number: | 1124137369 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD024840E |
Business Practice Address: | 15 Industrial Blvd Suite 102 Paoli, PA - 193011608 |
Business Phone Number: | 6102965600 |
Business Fax Number: | 6102963308 |
Mailing Address: | 994 Old Eagle School Rd, Ste 1017 WAYNE |
State: | PA |
Postal Code: | 190871802 |
Phone Number: | 6102965600 |
Fax Number: | 6102963308 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 04/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD024840E |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |