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Organization

MID-ATLANTIC ENT, LLC

Active
Other names
Anne Arundel ENT & Facial Plastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
LEE ALLAN KLEIMAN MD (MEDICAL DIRECTOR)
(410) 573-9191
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician

Other

Enumeration date
04/04/2024
Last updated
04/04/2024
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