Individual
DR. ALFRED J. MAURIELLO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 INDUSTRIAL BLVD, STE 102, PAOLI, PA 19301-1608
(610) 363-2532
(610) 363-0210
Mailing address
15 INDUSTRIAL BLVD, STE 102, PAOLI, PA 19301-1608
(610) 363-2532
(610) 363-0210
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD011731E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006068850001
—
PA
Enumeration date
10/07/2005
Last updated
04/26/2018
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