Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD439651 | PA |
NPI | 1184884298 |
---|---|
Provider Name | Dr. Adam J Mariotti |
First Address | Exton, PA 19341-2503 |
Second Address | Exton, PA 19341-2503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 05/02/2013 |