Maine Ear Nose & Throat Center LLC

NPI #1881767846 in Scarborough, Maine

Provider Information

NPI Number: 1881767846
Entity Type: Organization
Organization Name: Maine Ear Nose & Throat Center LLC
Primary Specialty: Otolaryngology
Enumeration Date: Nov 16, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 69 US ROUTE 1
City: Scarborough
State: Maine
ZIP Code: 04074-9374
Phone: (207) 885-0200

Authorized Official

Name: DR. JAY D RAISEN, M.D.
Title: MANAGER
Phone: (207) 885-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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