Thomas Mellow M.D.

NPI 1003846361 - Pediatrics - 208000000X

NPI Details
NPI 1003846361
Gender Male
Enumeration Date 07/03/2006
Last Updated 06/16/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
887 CONGRESS ST
SUITE 320
PORTLAND ME, 04102-3100, US
Phone (207) 662-5522
Fax (207) 662-5527
Business Location
301 US ROUTE 1
SCARBOROUGH ME, 04074-7609, US
Phone (207) 396-8600
Fax (207) 396-8632
Toxanomy
Taxonomy Code 208000000X
License State Maine
License Number 016021
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According to our database, Dr. Thomas Mellow M.D. NPI is 1003846361, taxonomy code is 208000000X and license number is 016021, license state is located at Maine. Thomas Mellow M.D. physically located at 887 Congress St, Portland ME, 04102-3100. NPI Number Thomas Mellow M.D. has the Individual type.

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1003846361 NPI number is provided on an as is basis without warranty of any kind. 1003846361 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Mellow M.D. are for informational purposes only.