Organization
MAINE MEDICAL PARTNERS
Active
Other names
Maine Medical Partners Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KASABIAN (PRESIDENT)
(207) 661-2000
Entity
Organization
Contact information
Practice address
4 SCAMMON ST, SACO, ME 04072-5121
(207) 282-3327
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
208000000X
Pediatrics Physician
Primary
—
ME
363LP0200X
Pediatric Nurse Practitioner
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119910002
—
ME
05
—
119910003
—
ME
05
—
119910004
—
ME
05
—
119910005
—
ME
05
—
119910020
—
ME
05
—
30212263
—
NH
Enumeration date
07/13/2006
Last updated
12/13/2022
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