NPI 1396199881

City Line E.N.T., PC

Organisation Otolaryngology Physician Philadelphia, PA

Practice location

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

Authorised official

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

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence OS0011941L (PA)

Other Otolaryngology providers in Pennsylvania →

Registry record

NPI: 1396199881
Entity type: Organization
NPI issued: 20 Apr 2016
Record last updated: 20 Apr 2016

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.