| Metabolic Leader Llc | |
|
51 Us Route 1 Ste H Scarborough ME 04074-7134 | |
| (207) 396-6433 | |
| (207) 396-6436 |
| Full Name | Metabolic Leader Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 51 Us Route 1 Ste H, Scarborough, Maine |
| Authorized Official Name and Position | Stephan P Babirak (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Contact | 2073966433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metabolic Leader Llc 51 Us Route 1 Ste H Scarborough ME 04074-7134 Ph: (207) 396-6433 | Metabolic Leader Llc 51 Us Route 1 Ste H Scarborough ME 04074-7134 Ph: (207) 396-6433 |
| NPI Number | 1134436165 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 10/07/2020 |
| Medicare PECOS PAC ID | 7315135423 |
|---|---|
| Medicare Enrollment ID | O20101215001201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134436165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Stephan P Babirak |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689619884 PECOS PAC ID: 8729022355 Enrollment ID: I20050615000200 |
| Provider Name | Alicia P Greenwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366489429 PECOS PAC ID: 8022037811 Enrollment ID: I20100519000494 |
| Provider Name | Paula S Spanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801183470 PECOS PAC ID: 0840460697 Enrollment ID: I20110902000514 |
| Provider Name | Mark R Henschke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922092667 PECOS PAC ID: 4981612454 Enrollment ID: I20131127000593 |
| Provider Name | Christina M Bordeau |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750605259 PECOS PAC ID: 8325343700 Enrollment ID: I20171130002381 |
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