Kassab, Charlotte A

Kassab, Charlotte A is an individual health care provider with primary practice located at 84 Marginal Way Suite 900, Portland ME 04101-2443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kassab, Charlotte A can be contacted via phone (207) 874-2445.

Contact Information

Primary practice address
84 Marginal Way Suite 900 Portland ME 04101-2443
Phone: (207) 874-2445
Fax: (207) 523-8598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 015235 Maine

Profile Details

NPI number 1487623120
LBN Legal business name Kassab, Charlotte A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Sep 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487623120 NPPES
Other 2646963 AETNA
Other 041321 AETNA
MEDICAID 324080099 AETNA

Popular Providers