Healthcare Provider Details
I. General information
NPI: 1891595872
Provider Name (Legal Business Name): GREATER PHILADELPHIA EAR SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
768 N BETHLEHEM PIKE STE 300
AMBLER PA
19002-2659
US
IV. Provider business mailing address
768 N BETHLEHEM PIKE STE 300
AMBLER PA
19002-2659
US
V. Phone/Fax
- Phone: 215-383-1333
- Fax: 215-422-3818
- Phone: 215-383-1333
- Fax: 215-422-3818
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SEAN
PATRICK
LARNER
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 215-383-1333