Organization
MAINE MEDICAL PARTNERS
Active
Other names
Maine Childrens Cancer Program
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KASABIAN (PRESIDENT)
(207) 661-2000
Entity
Organization
Contact information
Practice address
100 CAMPUS DR, UNIT 107, SCARBOROUGH, ME 04074-9692
(207) 885-7565
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
1041C0700X
Clinical Social Worker
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126770000
—
ME
Enumeration date
07/29/2006
Last updated
12/13/2022
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