Healthcare Provider Details

I. General information

NPI: 1255259446
Provider Name (Legal Business Name): STEVEN MATURI HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 WELSH RD
WILLOW GROVE PA
19090-2900
US

IV. Provider business mailing address

2732 KRUGER RD
ABINGTON PA
19001-2906
US

V. Phone/Fax

Practice location:
  • Phone: 215-346-4305
  • Fax:
Mailing address:
  • Phone: 215-806-2086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberF03560
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: