Maine Medical Partners
Pediatrics, Pediatric Hematology-Oncology in Scarborough, ME. Organization (NPI-2).
NPI number1073527388
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1073527388
- Entity type
- Organization (NPI-2)
- Legal business name
- Maine Medical Partners
- Organization subpart
- No
- Enumeration date
- Jul 29, 2006
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 363LP0200X | Nurse Practitioner, Pediatrics | – | – |
Other names
- Maine Childrens Cancer Program (Doing Business As)
Practice location
100 Campus DrUnit 107
Scarborough, ME 04074-9692
Phone 207-885-7565
Mailing address
300 Southborough DrSuite 201
South Portland, ME 04106-6914
Phone 207-661-2000 · Fax 207-661-2033
Authorized official
Stephen J Kasabian
President
2076612000
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