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Organization

BENJAMIN LIESS ENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN LIESS MD (OWNER)
(207) 415-4841
Entity
Organization

Contact information

Practice address
144 US ROUTE 1, SCARBOROUGH, ME 04074-7219
(207) 415-4841
Mailing address
144 US ROUTE 1, SCARBOROUGH, ME 04074-7219
(207) 415-4841

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
01/11/2019
Last updated
01/11/2019
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