Organization
HEAD AND NECK SURGICAL ASSOCIATES
Active
Parent organization
HEAD AND NECK SURGICAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEAD AND NECK SURGICAL ASSOCIATES
Authorized official
MRS. ELAINE H BUTLAND (OFFICE MANAGER)
(207) 797-5753
Entity
Organization
Contact information
Practice address
1250 FOREST AVE, SUITE 301, PORTLAND, ME 04103-1889
(207) 797-5753
(207) 878-1715
Mailing address
1250 FOREST AVE, SUITE 301, PORTLAND, ME 04103-1889
(207) 797-5753
(207) 878-1715
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
09/30/2009
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