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Contact Information

MID-ATLANTIC ENT, LLC
621 RIDGELY AVE STE 401
ANNAPOLIS, MD21401-1099
 Phone: 410-573-9191
 Fax: 410-573-5910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MID-ATLANTIC ENT, LLC

NPI Number 1932951670
LBN Legal business name MID-ATLANTIC ENT, LLC
Authorized official LEE KLEIMAN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2024
Last updated 04/04/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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