# CASCO BAY GASTROENTEROLOGY LLC

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

## Provider details

- **NPI number:** 1972579241
- **Authorized official:** CHRISTINE MARIE DAIGLE CCP (BILLING MANAGER)
- **Authorized official phone:** (207) 879-0094

## Contact information

- **Practice address:** 25 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2440
- **Practice address phone:** (207) 879-0094
- **Practice address fax:** (207) 879-0095
- **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:** 02/27/2006
- **Last updated:** 05/07/2008