# MID-ATLANTIC ENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anne Arundel ENT & Facial Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225880966
- **Authorized official:** LEE ALLAN KLEIMAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (410) 573-9191

## Contact information

- **Practice address:** 479 JUMPERS HOLE RD STE 304, SEVERNA PARK, MD 21146-1734
- **Practice address phone:** (410) 573-9191
- **Practice address fax:** (410) 573-5910
- **Mailing address:** 600 RIDGELY AVE STE 110, ANNAPOLIS, MD 21401-1082
- **Mailing address phone:** (410) 573-9191
- **Mailing address fax:** (410) 573-5910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 04/04/2024
- **Last updated:** 06/01/2026