# MAXWELL, KLUGER AND MAKARETZ ENT ASSOC M.D.P.A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558381863
- **Authorized official:** DEBRA J FERRANTE CPC (BILLING MANAGER)
- **Authorized official phone:** (207) 775-1524

## Contact information

- **Practice address:** 43 BAXTER BLVD, PORTLAND, ME 04101-1823
- **Practice address phone:** (207) 775-1524
- **Mailing address:** 43 BAXTER BLVD, PORTLAND, ME 04101-1823
- **Mailing address phone:** (207) 775-1524

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 08/22/2020
