Organization
MAINE EAR NOSE & THROAT CENTER LLC
Active
Other names
Maine Ear Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY D RAISEN M.D. (MANAGER)
(207) 885-0200
Entity
Organization
Contact information
Practice address
69 US ROUTE 1, SCARBOROUGH, ME 04074-9374
(207) 885-0200
(207) 885-0255
Mailing address
PO BOX 6490, SCARBOROUGH, ME 04070-6490
(207) 885-0200
(207) 885-0255
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
014566
ME
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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