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

Providence Ear Nose & Throat Associates Inc

Organization Otolaryngology Physician · NPI 1134680747

Providence Ear Nose & Throat Associates Inc is an Otolaryngology Physician in Media, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Riddle Mem Hosp.- Outpt Pav 1098 W Baltimore Pk Ste 3406
Media, PA 19063-5139
Phone: (610) 874-5366
Fax: (610) 874-8448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1134680747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Feehery — Authorized Official · (610) 874-5366
NPI enumeratedMarch 27, 2019
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021
Mailing address2112 Providence Ave, Chester, PA 19013-5507

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