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22 Bramhall St Pavillion 1203 Portland ME 04102-3134 | |
| (207) 662-4618 | |
| (207) 662-6254 |
| Full Name | |
|---|---|
| Speciality | Hospitalist |
| Location | 22 Bramhall St, Portland, Maine |
| Authorized Official Name and Position | Stephen J Kasabian (PRESIDENT) |
| Authorized Official Contact | 2076612093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300 Southborough Dr Suite 201 South Portland ME 04106-6914 Ph: (207) 661-2000 | 22 Bramhall St Pavillion 1203 Portland ME 04102-3134 Ph: (207) 662-4618 |
| NPI Number | 1942315361 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 12/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942315361 | NPI | - | NPPES |
| 119910025 | Medicaid | ME | |
| 30215151 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Maine) | Secondary |
| 208M00000X | Hospitalist | (Maine) | Primary |
| 363A00000X | Physician Assistant | (Maine) | Secondary |
Daniel Mark Merson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Forest Ave, Portland, ME 04103 Phone: 207-878-5042 Fax: 207-878-5043 | |
John Stanhope Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Brighton Ave, Portland, ME 04102 Phone: 207-774-2677 Fax: 207-774-5895 | |
City Of Portland Hhs, Phd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Congress St, Room 307, Portland, ME 04101 Phone: 207-874-8784 | |
Michael L. Shuman, M.d.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mellen St, Portland, ME 04101 Phone: 207-774-3835 Fax: 207-774-2176 | |
Maurice C. Hothem, Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Auburn St, Portland, ME 04103 Phone: 207-797-4148 Fax: 207-797-5730 | |
Fore River Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Sewall St, Portland, ME 04102 Phone: 207-772-8823 Fax: 207-772-1856 |