# CASCO BAY GASTROENTEROLOGY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619138401
- **Authorized official:** CHRISTINE MARIE DAIGLE CCP (BILLING/CREDENTIALING MANAGER)
- **Authorized official phone:** (207) 879-8989

## Contact information

- **Practice address:** 195 FORE RIVER PKWY STE 490, PORTLAND, ME 04102-2779
- **Practice address phone:** (207) 999-9999
- **Mailing address:** 25 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2440
- **Mailing address phone:** (207) 879-0094
- **Mailing address fax:** (207) 879-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2008
- **Last updated:** 06/24/2008