NPI 1043255540

Ent R Net, P a

Organisation Otolaryngology Physician Philadelphia, PA

Practice location

Address: 4190 City Ave Suite 526, Philadelphia, PA 19131-1626
Phone: (215) 879-0060
Fax: (215) 879-0063

Authorised official

Name: Theodore Mauer
Title: Owner
Phone: (215) 879-0060

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence OS001941L (PA)

Other Otolaryngology providers in Pennsylvania →

Registry record

NPI: 1043255540
Entity type: Organization
NPI issued: 18 Jun 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.