Benjamin Liess Ent LLC

NPI #1518431642 in Scarborough, Maine

Provider Information

NPI Number: 1518431642
Entity Type: Organization
Organization Name: Benjamin Liess Ent LLC
Primary Specialty: Otolaryngology
Enumeration Date: Jan 11, 2019
Last Updated: Jan 11, 2019

Practice Location

Address: 144 US ROUTE 1
City: Scarborough
State: Maine
ZIP Code: 04074-7219
Phone: (207) 415-4841

Authorized Official

Name: BENJAMIN LIESS, MD
Title: OWNER
Phone: (207) 415-4841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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