Organization
MAINE MEDICAL PARTNERS
Active
Other names
Maine Medical Partners Endocrinology & Diabetes Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KASABIAN (PRESIDENT)
(207) 661-2090
Entity
Organization
Contact information
Practice address
175 US ROUTE 1, SCARBOROUGH, ME 04074-9048
(207) 396-7700
(207) 396-7701
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
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119910000
—
ME
05
—
30210612
—
NH
Enumeration date
09/07/2006
Last updated
12/13/2022
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