Provider Demographics
NPI:1134436165
Name:METABOLIC LEADER LLC
Entity type:Organization
Organization Name:METABOLIC LEADER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:BABIRAK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD MD
Authorized Official - Phone:207-396-6433
Mailing Address - Street 1:51 US ROUTE 1 STE H
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7134
Mailing Address - Country:US
Mailing Address - Phone:207-396-6433
Mailing Address - Fax:207-396-6436
Practice Address - Street 1:51 US ROUTE 1 STE H
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7134
Practice Address - Country:US
Practice Address - Phone:207-396-6433
Practice Address - Fax:207-396-6436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty