Individual provider · Type 1 NPI

Marissa Maliakal Anto, MD

Neurology with Special Qualifications in Child Neurology Physician · Philadelphia, PA

NPI number 1114380128 Active

Practice location

3401 Civic Center Blvd, Division Of Pediatric Headache Medicine
Philadelphia, PA 19104

Mailing address

41 Windsor Dr
Jericho, NY 11753-1327

Specialties and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402XMD472478 (PA)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1114380128

Marissa Maliakal Anto, MD's National Provider Identifier is 1114380128, issued on Mar 29, 2016. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 12, 2021.