DR. ALFRED J. MAURIELLO II (NPI# 1144218793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144218793 |
| Entity Type | Individual |
| Full Name | DR. ALFRED J. MAURIELLO II |
| Credential | M.D. |
| Practice Address |
15 Industrial Blvd Ste 102 Paoli PA 19301-1608 |
| Practice Telephone | 6103632532 |
| Practice Fax Number | 6103630210 |
| Mailing Telephone | 6103632532 |
| Mailing Fax Number | 6103630210 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2018-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD011731E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006068850001 | 05 |
| Street Address |
15 INDUSTRIAL BLVD STE 102 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316336225 | Ear Nose & Throat of The Upper Main Line LLC | Otolaryngology | 15 Industrial Blvd, Suite 102, Paoli, PA 19301-1608 | 2015-01-15 |
| 1447585021 | Jon Panucci | Chiropractor | 15 Industrial Blvd, Suite 202, Paoli, PA 19301-1608 | 2009-10-15 |
| 1245337450 | Dr Roel Demesa Compendio PC | Psychiatry & Neurology | 15 Industrial Blvd, Suite 203, Paoli, PA 19301-1608 | 2006-09-20 |
| 1053418277 | Dr George Abraham PC | Psychiatry & Neurology | 15 Industrial Blvd, Suite 203, Paoli, PA 19301-1608 | 2006-09-20 |
| 1124137369 | Joseph M Ardito | Specialist | 15 Industrial Blvd, Suite 102, Paoli, PA 19301-1608 | 2006-08-30 |
| 1578585329 | Andrew Hartman Hess | Social Worker | 15 Industrial Blvd, Suite 203a, Paoli, PA 19301 | 2006-07-24 |
| 1902885296 | Roel D Compendio | Psychiatry & Neurology | 15 Industrial Blvd, Suite 203, Paoli, PA 19301 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316336225 | Ear Nose & Throat of The Upper Main Line LLC | Otolaryngology | 15 Industrial Blvd, Suite 102, Paoli, PA 19301-1608 | 2015-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124531934 | Rachel Hannah Destefano | Otolaryngology | 800 S Logan Blvd Ste 3100, Hollidaysburg, PA 16648-3050 | 2017-11-15 |
| 1558550830 | Valley Forge Facial Plastic Surgery Ent | Otolaryngology | 206 Gay St, Phoenixville, PA 19460-3721 | 2007-10-23 |
| 1366580458 | Albert Joseph Woodring | Otolaryngology | 1849 S 15th St, Philadelphia, PA 19145-2301 | 2007-02-02 |
| 1538230313 | Pinnacle Ent Alliance LLC | Otolaryngology | 994 Old Eagle School Rd, Suite 1017, Wayne, PA 19087-1802 | 2006-11-13 |
| 1376654004 | Daniel Joseph Callaghan Jr. | Otolaryngology | 3126 Wilmington Rd, New Castle, PA 16105-1132 | 2006-08-31 |
| 1982662540 | Elliott Jody Bilofsky | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-05-03 |
| 1568438703 | Tasos Aslanidis | Otolaryngology | 1841 S Broad St, Philadelphia, PA 19148-2115 | 2006-02-27 |
| 1578533212 | Larry A Feiner | Otolaryngology | 2023 E High St, Pottstown, PA 19464-3211 | 2006-01-25 |
| 1700863743 | Raphael Gabay | Otolaryngology | 9500 Roosevelt Blvd, Philadelphia, PA 19115 | 2005-12-30 |
| 1730186404 | Radu Clifford Mihail | Otolaryngology | 1705 Warren Ave Ste 204-205, Williamsport, PA 17701-2647 | 2005-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.