Organization
MAINE MEDICAL PARTNERS
Active
Organization
MAINE MEDICAL PARTNERS
Active
Other names
Maine Medical Partners Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KASABIAN (PRESIDENT)
(207) 661-2000
Entity
Organization
Contact information
Practice address
155 SPURWINK AVE, CAPE ELIZABETH, ME 04107-9604
(207) 767-2174
(207) 767-1384
Mailing address
300 SOUTBOROUGH DRIVE, SUITE 201, SOUTH PORTLAND, ME 04106
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119910006
—
ME
05
—
119910007
—
ME
05
—
119910008
—
ME
05
—
119910009
—
ME
05
—
119910029
—
ME
05
—
30216636
—
NH
05
—
30217105
—
NH
Enumeration date
07/13/2006
Last updated
12/13/2022
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