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Contact Information

THOMAS MELLOW, MD
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

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for THOMAS MELLOW · (Male)

NPI # 1003846361
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 03/24/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • ME License # 016021
  • ME Medicaid 331790099
  • NH Medicaid 30203388
Hospital affiliation(s) Not Available
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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