Individual provider · Type 1 NPI

Maria Anna Mavrommatis, BA

Otolaryngology Physician · Philadelphia, PA

NPI number 1720617442 Active

Practice location

925 Chestnut St
Philadelphia, PA 19107-4216

Mailing address

1001 S Broad St Apt W0645
Philadelphia, PA 19147-3648

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XMD493510 (PA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1720617442

Maria Anna Mavrommatis, BA's National Provider Identifier is 1720617442, issued on Apr 4, 2020. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 18, 2026.