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Organization

HEAD AND NECK SURGICAL ASSOCIATES

Active
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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
244 KENNEDY MEMORIAL DR, SUITE G, WATERVILLE, ME 04901-4538
(207) 872-1937
(207) 872-1949
Mailing address
1250 FOREST AVE, SUITE 301, PORTLAND, ME 04103-1889
(207) 797-5753
(207) 818-1715

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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