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Organization

MAINE MEDICAL PARTNERS

Active
Other names
Maine Medical Partners Specialty Care
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN J KASABIAN (CHIEF ADMINISTRATIVE OFFICER)
(207) 396-8600
Entity
Organization

Contact information

Practice address
887 CONGRESS ST, PORTLAND, ME 04102-3100
(207) 774-6368
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
07/21/2015
Last updated
07/21/2015
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