Mellow, Thomas
Mellow, Thomas is an individual health care provider with primary practice located at 100 Foden Rd Ste 103 , South Portland ME 04106-2327. 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) 828-1122.Contact Information
Primary practice address
100 Foden Rd Ste 103
South Portland ME 04106-2327
Phone: (207) 828-1122
Fax: (207) 828-0188
Website:
Health care specialties
| Specialty | Code | License # | 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 | Mar 24th, 2026 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003846361 | NPPES |
| New Hampshire | MEDICAID | 30203388 | |
| New Hampshire | MEDICAID | 331790099 |
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