Organization Name: | HEAD AND NECK SURGICAL ASSOCIATES |
NPI Number: | 1508052150 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELAINE H BUTLAND (OFFICE MANAGER) |
Mailing Address: | 55 Main St Bridgton |
State: | ME US |
Postal Code: | 040091117 |
Phone Number: | 2076472144 |
Fax Number: | 2076472126 |
NPI Enumeration Date: | 09/18/2007 |
NPI Last Update Date: | 09/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |