Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

City Line ENT, PC

Organization Otolaryngology Physician · NPI 1396199881

City Line ENT, PC is an Otolaryngology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4190 City Ave Ste 526
Philadelphia, PA 19131-1626
Phone: (215) 879-0060
Fax: (215) 879-0063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence OS0011941L (PA)

Record details

NPI number1396199881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Mauer — Owner · (215) 879-0060
NPI enumeratedApril 20, 2016
Last updated in NPPESApril 20, 2016
Mailing address4190 City Ave, Ste 526, Philadelphia, PA 19131-1626

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