Individual
LYDIA ROSE MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-3309
(978) 808-3232
Mailing address
51 N 39TH ST, 1 MOB, STE 120, PHILADELPHIA, PA 19104
(978) 808-3232
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
277964
MA
2086S0102X
Surgical Critical Care Physician
277964
MA
Other
Enumeration date
05/10/2016
Last updated
12/16/2025
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