Organization
MAINE MEDICAL PARTNERS
Active
Other names
Maine Medical Partners General Surgery, Trauma & Critical Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KASABIAN (PRESIDENT)
(207) 661-2000
Entity
Organization
Contact information
Practice address
887 CONGRESS ST, SUITE 210, PORTLAND, ME 04102-3100
(207) 774-2544
(207) 774-0459
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
208600000X
Surgery Physician
Primary
—
ME
2086S0127X
Trauma Surgery Physician
—
ME
363LA2200X
Adult Health Nurse Practitioner
—
ME
363LC0200X
Critical Care Medicine Nurse Practitioner
—
ME
363LF0000X
Family Nurse Practitioner
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119910017
—
ME
05
—
30002633
—
NH
Enumeration date
09/11/2006
Last updated
05/02/2016
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