Organization
MAINE MEDICAL PARTNERS
Active
Other names
Maine Medical Partners Urology
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KASABIAN (PRESIDENT)
(207) 661-2000
Entity
Organization
Contact information
Practice address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
(207) 773-1728
(207) 772-4062
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
208800000X
Urology Physician
Primary
—
—
2088P0231X
Pediatric Urology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119910029
—
ME
05
—
30217105
—
NH
Enumeration date
12/03/2009
Last updated
12/13/2022
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