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Contact Information

JON P DONNELLY, MD
71 US ROUTE 1
SUITE C
SCARBOROUGH, ME04074-7173
 Phone: 207-883-5532
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JON P DONNELLY · (Male)

NPI # 1023102456
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 01/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD14324
  • ME Medicaid 315420099
Hospital affiliation(s)
  • 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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