NPI 1205924594

Casco Medical Group

Organisation Obstetrics & Gynecology Physician Portland, ME

Practice location

Address: 535 Ocean Ave Suite 2 - Second Floor, Portland, ME 04103
Phone: (207) 518-6000
Fax: (207) 518-6001

Authorised official

Name: Charles T Rainville
Title: President
Phone: (207) 518-6041

Registered specialties (4)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence MD12923 (ME)

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Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LC5507 (ME)

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Specialist

Other Service Providers Taxonomy 174400000X

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Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence AM082082 (ME)

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Registry record

NPI: 1205924594
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 1 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.