Organization
COASTAL EAR NOSE AND THROAT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN SAMSON M.D. (PRESIDENT)
(207) 725-4455
Entity
Organization
Contact information
Practice address
44 ELM ST, TOPSHAM, ME 04086-1418
(207) 725-4455
(207) 725-4861
Mailing address
44 ELM ST, TOPSHAM, ME 04086-1418
(207) 725-4455
(207) 725-4861
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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