Organization
MAINE OTOLARYNGOLOGY SURGERY
Active
Other names
MOSA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANNE RICHTER MD (PRESIDENT)
(207) 338-4409
Entity
Organization
Contact information
Practice address
116 NORTHPORT AVE, SUITE 118, BELFAST, ME 04915-6095
(207) 338-4409
(207) 338-4486
Mailing address
116 NORTHPORT AVE, SUITE 118, BELFAST, ME 04915-6095
(207) 338-4409
(207) 338-4486
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015045
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189920000
—
ME
Enumeration date
12/29/2005
Last updated
03/25/2010
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