Organization
MAINE MEDICAL PARTNERS
Active
Other names
Family Practice Service
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KASABIAN III (PRESIDENT)
(207) 761-0650
Entity
Organization
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2875
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119910025
—
ME
Enumeration date
08/03/2006
Last updated
12/03/2008
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