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Organization
MAINE MEDICAL PARTNERS
Active
Organization
MAINE MEDICAL PARTNERS
Active
Other names
Maine Medical Partners Lakes Region Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KASABIAN (PRESIDENT)
(207) 661-2000
Entity
Organization
Contact information
Practice address
584 ROOSEVELT TRL, WINDHAM, ME 04062-4904
(207) 892-3233
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
363AM0700X
Medical Physician Assistant
PA001141
ME
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119910010
—
ME
05
—
30216078
—
NH
Enumeration date
07/13/2006
Last updated
12/13/2022
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