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

Main Line Gastroenterology Associates, PC

Organization Certified Registered Nurse Anesthetist · NPI 1053557082

Main Line Gastroenterology Associates, PC is a Certified Registered Nurse Anesthetist 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
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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