NPI 1043297179

Maine Otolaryngology Surgery

Organisation Specialist Belfast, ME

Practice location

Address: 116 Northport Ave Suite 118, Belfast, ME 04915-6095
Phone: (207) 338-4409
Fax: (207) 338-4486

Authorised official

Name: Elizabeth Anne Richter
Title: President
Phone: (207) 338-4409

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 015045 (ME)

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Registry record

NPI: 1043297179
Entity type: Organization
NPI issued: 29 Dec 2005
Record last updated: 25 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.