# MAINE THORACIC SURGERY, LLC

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

## Provider details

- **NPI number:** 1841672094
- **Authorized official:** SETH D BLANK M.D. (OWNER)
- **Authorized official phone:** (207) 781-8594

## Contact information

- **Practice address:** 21 NORTHBROOK DR \# B, FALMOUTH, ME 04105-1379
- **Practice address phone:** (207) 781-8594
- **Practice address fax:** (207) 781-3493
- **Mailing address:** 21 NORTHBROOK DR \# B, FALMOUTH, ME 04105-1379
- **Mailing address phone:** (207) 781-8594
- **Mailing address fax:** (207) 781-3493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD13305 | ME | Yes |

## Other

- **Enumeration date:** 06/24/2015
- **Last updated:** 06/24/2015