Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ear Nose & Throat of the Upper Main Line LLC

Organization Otolaryngology/Facial Plastic Surgery Physician · NPI 1316336225

Ear Nose & Throat of the Upper Main Line LLC provides Otolaryngology/Facial Plastic Surgery Physician services in Paoli, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 Industrial Blvd Ste 102
Paoli, PA 19301-1608 Not confirmed with CMS for 11 years — call before visiting
Phone: (610) 296-5600
Fax: (610) 296-3308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence MD024840E (PA)

Record details

NPI number1316336225
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEar Nose & Throat of the Upper Main Line LLC
Authorized official Joseph Ardito — Physician · (610) 296-5600
NPI enumeratedJanuary 15, 2015
Last updated in NPPESJanuary 15, 2015
Mailing address15 Industrial Blvd, Suite 102, Paoli, PA 19301-1608

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