Individual
THOMAS XAVIER DONNELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
887 CONGRESS ST STE 210, PORTLAND, ME 04102-3166
(207) 774-2381
Mailing address
887 CONGRESS ST STE 210, PORTLAND, ME 04102-3166
(207) 774-2381
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN83051
ME
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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