# MAINE MEDICAL PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maine Medical Partners Endocrinology & Diabetes Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447354899
- **Authorized official:** STEPHEN J KASABIAN (PRESIDENT)
- **Authorized official phone:** (207) 661-2090

## Contact information

- **Practice address:** 175 US ROUTE 1, SCARBOROUGH, ME 04074-9048
- **Practice address phone:** (207) 396-7700
- **Practice address fax:** (207) 396-7701
- **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 |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 12/13/2022