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

Marissa Maliakal Anto, MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1114380128

Marissa Maliakal Anto, MD is a Neurology with Special Qualifications in Child Neurology 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?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3401 Civic Center Blvd Division Of Pediatric Headache Medicine
Philadelphia, PA 19104
Phone: (267) 825-3170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence MD472478 (PA)

Record details

NPI number1114380128
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2016
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021

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