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Contact Information

PATRICK T MAILLOUX, DO
100 FODEN RD STE 103
SOUTH PORTLAND, ME04106-2327
 Phone: 207-828-1122
 Fax: 207-828-0188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PATRICK T MAILLOUX · (Male)

NPI # 1689697708
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/26/2006
Last updated 03/24/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • ME License # DO2770
Hospital affiliation(s)
  • FRANKLIN MEMORIAL HOSPITAL - (Acute Care)
    111 FRANKLIN HEALTH COMMONS
    FARMINGTON, ME 04938
  • MAINE MEDICAL CENTER - (Acute Care)
    22 BRAMHALL ST
    PORTLAND, ME 04102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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