Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Main Line Gastroenterology Associates, PC

Organization Certified Registered Nurse Anesthetist · NPI 1053557082

Main Line Gastroenterology Associates, PC provides Certified Registered Nurse Anesthetist services in Paoli, Pennsylvania. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

255 W Lancaster Ave Paoli Medical Bldg Ste 332
Paoli, PA 19301-1763 Not confirmed with CMS for 17 years — call before visiting
Phone: (610) 644-6755
Fax: (610) 647-2063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1053557082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellie Suder — Billing Manager · (215) 723-2333
NPI enumeratedDecember 22, 2008
Last updated in NPPESDecember 22, 2008
Mailing address255 W Lancaster Ave, Paoli Medical Building, Suite 332, Paoli, PA 19301-1763

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