| NPI | 1558381863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J FERRANTE Billing Manager 207-775-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |