Organization
MAINE MEDICAL PARTNERS
Active
Other names
Maine Medical Partners Pediatric Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J KASABIAN (PRESIDENT)
(207) 661-2000
Entity
Organization
Contact information
Practice address
887 CONGRESS ST, SUITE 320, PORTLAND, ME 04102-3100
(207) 662-5522
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
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
170300000X
Genetic Counselor (M.S.)
—
ME
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119910001
—
ME
05
—
119910018
—
ME
05
—
119910019
—
ME
05
—
119910027
—
ME
05
—
119910028
—
ME
05
—
30006478
—
NH
05
—
30216371
—
NH
Enumeration date
07/29/2006
Last updated
12/13/2022
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