Individual
DR. THOMAS MELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-0188
Mailing address
301 US ROUTE 1, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
016021
ME
2080P0214X
Pediatric Pulmonology Physician
Primary
016021
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30203388
—
NH
05
—
331790099
—
ME
Enumeration date
07/03/2006
Last updated
03/24/2026
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