# MAINE MEDICAL PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maine Medical Partners Pediatric Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134305386
- **Authorized official:** STEPHEN J KASABIAN (PRESIDENT)
- **Authorized official phone:** (207) 661-2000

## Contact information

- **Practice address:** 887 CONGRESS ST, SUITE 300, PORTLAND, ME 04102-3100
- **Practice address phone:** (207) 662-5555
- **Practice address fax:** (207) 662-5526
- **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 |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | ME | — |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/18/2008
- **Last updated:** 12/13/2022