Individual
PHILIP MITCHELL MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 OXFORD VALLEY RD, LANGHORNE, PA 19047-8304
(215) 409-9300
(215) 409-9368
Mailing address
PO BOX 8500-1672, PHILADELPHIA, PA 19178-1672
(215) 807-8330
(215) 807-8242
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA06339100
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD03208EL
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033075000
I.B.C.
PA
01
—
2069584
AETNA
PA
Enumeration date
06/16/2006
Last updated
09/15/2014
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