Unknown Individual – Pediatric Otolaryngology Physician, NPI 1427167287
Pediatric Otolaryngology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
191, Mill Street, Rockport, Knox County, Maine, 04856, United States
PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 197320191
Phone: (302) 651-6212
Fax: (302) 651-4945
Type: Mailing
1717, South Orange Avenue, Orlando, Orange County, Florida, 32806, United States
SUITE 100
ORLANDO, FL 328062946
Phone: (407) 650-7000
Fax: (407) 650-7124
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19732)
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