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HEAD AND NECK SURGICAL ASSOCIATES

Physicians Otolaryngology Otolaryngology/Facial Plastic Surgery

Provider NPI: 1508052143

Organization Information:
Organization Name:  HEAD AND NECK SURGICAL ASSOCIATES
Organization is Subpart
Authorized Official:  ELAINE H BUTLAND  OFFICE MANAGER  207-797-5753

Practice Location:
6 WELLSPRING RD  BIDDEFORD, ME 04005-9415 US
Tel: 207-284-6673  Fax: 207-294-7365

Business Mailing Address:
1250 FOREST AVE SUITE 301 PORTLAND, ME 04103-1889 US
Tel: 207-797-5753  Fax: 207-878-1715

NPI Information:
NPI: 1508052143
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207YX0905XPhysicians
Otolaryngology
Otolaryngology/Facial Plastic Surgery

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207YX0905X

Type:

Classification:



Definition:



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