Organization · NPI-2

Maine Medical Partners

Obstetrics & Gynecology · Portland, ME

NPI number1104921535
StatusActive
Last updated in NPPESDec 13, 2022

Details

NPI
1104921535
Entity type
Organization (NPI-2)
Legal business name
Maine Medical Partners
Organization subpart
No
Enumeration date
Sep 13, 2006
Certification date
Dec 13, 2022
Last updated
Dec 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology–MEYes
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology–ME
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine–ME
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology–ME
363LF0000X Nurse Practitioner, Family–ME
363LW0102X Nurse Practitioner, Women's Health–ME
367A00000X Advanced Practice Midwife–ME

Other names

  • Maine Medical Partners Women'S Health (Doing Business As)

Practice location

887 Congress St
Suite 200
Portland, ME 04102-3100

Phone 207-771-5549 · Fax 207-771-7834

Mailing address

300 Southborough Dr
South Portland, ME 04106-6914

Phone 207-661-2000 · Fax 207-661-2093

Authorized official

Stephen J Kasabian
President
2076612000

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