Philadelphia Magazine's TOP DOCTORS  - 2022

Find out about our
in-office Balloon Sinuplasty.

Are you tired of endless rounds of antibiotics to treat your recurring sinus infections? Let’s talk long-term relief instead.


Your Hearing Health Team in
West Chester, PA

Hearing loss is highly treatable. The Advanced Hearing Solutions audiology team has a combined 60+ years' experience helping people hear better. Guiding you on your journey to a lifetime of better hearing from start to finish.


Clear Sinus Imaging Precision

Precise imaging results for ENT patients with in-office convenience.


Tired of that constant ringing in your ear?
Find out about our audiology services.

Whether you hear a constant ringing in your ear, or suffer from some degree of hearing loss, we can help. Our on-staff audiologist provides hearing aids and a wide spectrum of other audiology treatments.


Need Answers?
Take our Sinus Quiz to learn more about your condition.

Your sinus symptoms may be indicating that something more serious is going on. Take our quiz to get a better understanding of your condition.


Suffering from sinus pain?
Find out about our in-office Balloon Sinuplasty.

Chronic sinus pain and pressure can take a toll on your quality of life. If you are tired of suffering, we can help! Click to learn more about balloon sinuplasty.

Allergy Injection Self-Scheduling
Walk-in clinic location - opened June 2018

Did you know ENTACC has a walk-in sinus clinic?

Exceptional sinus and ENT care was made even easier in June 2018 when we opened the doors to our Walk-In Clinic. Same convenient hours for patients of Exton, West Chester and all of Chester County, PA.

At ENTACC, our patients are our priority

Hearing Services

Hearing Services

Our physcians have over 40 years of experience. Whether you are suffering from hearing loss or an ear infection, we are here to help you get the relief that you deserve.

Sinus Treatments

Sinus Treatments

Having trouble breathing? Constantly dealing with headaches? Our team is certified in the most current and state of the art sinus treatment procedures.

Sleep Medicine Services

Sleep Medicine

At Ear Nose & Throat Associates of Chester County, A Board Certified Sleep Medicine Physician provides our patients with specialized testing options and treatment therapies.

In-Office CT Scan Services

In-Office CT Scans

The MiniCAT IQ allows our team of skilled professionals to focus in on your sinuses with clear, precise imaging results in our offices. Learn more about this amazing new technology available now to ENTACC patients.

Wells Fargo Health Advantage Credit Card

State-of-the-art equipment, the most innovative technology, and superior patient care.

read more

Over 40 years of respected medical service

With over 40 years of respected medical service to the residents of Chester County, Ear, Nose & Throat Associates of Chester County’s board certified physicians, are dedicated to providing comprehensive care for a diverse range of adult and pediatric disorders of the ear, nose, throat, head and neck. We offer state-of-the-art equipment, the most innovative technology and superior patient care in four office locations.


Erin O. from Downingtown, PA

“I had stopped taking my allergy medicine and ended up with the worse sinus infection of my life. The staff at Ear, Nose & Throat Associates of Chester County genuinely will provide you with the best care. I was overwhelmed by the kindness, concern, and sense of urgency everyone gave. My phone calls were returned promptly and time was made to see me in the office when it was an emergency.”

Connie J. from West Chester, PA

“I can say after years of coming to Ear, Nose & Throat Associates of Chester County, my relationship and trust with Dr. Marriotti has grown tremendously. He is personable, friendly and I appreciate his input with my hearing condition. The staff at Ear, Nose & Throat Associates of Chester County is always cheery and pleasant. I enjoy my visits and always leave feeling like I am in good hands.”

Dauna P. from University Lincoln, PA

“I am so grateful for the care Dr. Picariello has given for my complex and serious brain diagnosis. He has made such an impression on the way the process was handled. I shall never forget him and how humble he was when dealing with my condition. He is truly one of the best around and I am fortunate for his high ethical standards and professionalism.”

Kathy S. from Schwenksvile, PA

“The knowledge, encouragement, concern, and individual attention the doctors of Ear, Nose & Throat Associates of Chester County had demonstrated was far beyond my expectations. The office atmosphere is professional yet friendly. The doctors know their profession well and are able to explain in basic understandable terms. They made sure we were comfortable and took their time going over everything extensively.”

James B., from Coatesville, PA

“The allergy shot process has been a great experience and has prevented a reoccurrence of my nasal polyps, and decreased the need for my asthma inhaler. The allergy staff is excellent.”