Organization
MAXWELL, KLUGER AND MAKARETZ ENT ASSOC M.D.P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA J FERRANTE CPC (BILLING MANAGER)
(207) 775-1524
Entity
Organization
Contact information
Practice address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 775-1524
Mailing address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 775-1524
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002412
DR KLUGER INDIV ANTHEM #
ME
01
—
002415
DR MAXWELL INDIV ANTHEM #
ME
01
—
027846
DR MAKARETZ ANTHEM INDIV
ME
01
—
040924
DR FRIBERG INDIV ANTHEM #
ME
01
—
M2990
HEALTHSOURCE GROUP #
ME
Enumeration date
07/20/2006
Last updated
08/22/2020
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