Cardona, Ivan D

Cardona, Ivan D is an individual health care provider with primary practice located at 195 Fore River Pkwy Suite 410, Portland ME 04102. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Cardona, Ivan D can be contacted via phone (207) 774-9839.

Contact Information

Primary practice address
195 Fore River Pkwy Suite 410 Portland ME 04102
Phone: (207) 774-9839
Fax: (207) 761-2127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 017151 Maine
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 017151 Maine
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 017151 Maine

Profile Details

NPI number 1215038088
LBN Legal business name Cardona, Ivan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 13th, 2015 - about 11 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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