Organization
CASCO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES T RAINVILLE III (PRESIDENT)
(207) 518-6041
Entity
Organization
Contact information
Practice address
535 OCEAN AVE, SUITE 2 - SECOND FLOOR, PORTLAND, ME 04103
(207) 518-6000
(207) 518-6001
Mailing address
535 OCEAN AVE, SUITE 2 - SECOND FLOOR, PORTLAND, ME 04103
(207) 518-6000
(207) 518-6001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC5507
ME
174400000X
Specialist
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
MD12923
ME
367A00000X
Advanced Practice Midwife
AM082082
ME
Other
Enumeration date
10/11/2006
Last updated
12/01/2014
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