Individual
DR. THOMAS E VAN DER KLOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 FODEN ROAD, WEST BUILDING SUITE 103, SOUTH PORTLAND, ME 04106
(207) 828-1122
(207) 828-0188
Mailing address
100 FODEN ROAD, WEST BUILDING SUITE 103, SOUTH PORTLAND, ME 04106
(207) 828-1122
(207) 828-0188
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
015039
ME
Other
Enumeration date
08/31/2006
Last updated
12/03/2013
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