Organization Name: | MAINE OTOLARYNGOLOGY SURGERY |
NPI Number: | 1043297179 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH ANNE RICHTER (PRESIDENT) |
Mailing Address: | 116 Northport Ave Suite 118 Belfast |
State: | ME US |
Postal Code: | 049156095 |
Phone Number: | 2073384409 |
Fax Number: | 2073384486 |
NPI Enumeration Date: | 12/29/2005 |
NPI Last Update Date: | 03/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 015045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |