# MAINE MEDICAL PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maine Childrens Cancer Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073527388
- **Authorized official:** STEPHEN J KASABIAN (PRESIDENT)
- **Authorized official phone:** (207) 661-2000

## Contact information

- **Practice address:** 100 CAMPUS DR, UNIT 107, SCARBOROUGH, ME 04074-9692
- **Practice address phone:** (207) 885-7565
- **Mailing address:** 300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
- **Mailing address phone:** (207) 661-2000
- **Mailing address fax:** (207) 661-2033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | NULL | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 12/13/2022