Individual
DR. PATRICK T MAILLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-0188
Mailing address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-0188
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
226089
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DO2770
ME
Other
Enumeration date
07/26/2006
Last updated
03/24/2026
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