Provider Demographics
NPI:1750472825
Name:SABEAN, JOEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:A
Last Name:SABEAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 COTTAGE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106
Mailing Address - Country:US
Mailing Address - Phone:207-767-2146
Mailing Address - Fax:207-799-1858
Practice Address - Street 1:350 COTTAGE RD
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106
Practice Address - Country:US
Practice Address - Phone:207-767-2146
Practice Address - Fax:207-799-1858
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME009008207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1044138OtherAETNA
MEM2840OtherCIGNA
MED03844OtherHARVARD PILGRIM
ME002047OtherANTHEM
ME010350605Medicaid
ME002047OtherANTHEM
ME010350605Medicaid
MED03844OtherHARVARD PILGRIM