Mellow, Thomas

Mellow, Thomas is an individual health care provider with primary practice located at 887 Congress St Suite 320, Portland ME 04102-3100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Mellow, Thomas can be contacted via phone (207) 662-5522.

Contact Information

Primary practice address
887 Congress St Suite 320 Portland ME 04102-3100
Phone: (207) 662-5522
Fax: (207) 662-5527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 016021 Maine
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 016021 Maine

Profile Details

NPI number 1003846361
LBN Legal business name Mellow, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003846361 NPPES
Maine MEDICAID 331790099
Maine MEDICAID 30203388

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