Pediatric Cardiology Assoc PA
NPI #1346311925 in Scarborough, Maine
Provider Information
- NPI Number
- 1346311925
- Entity Type
- Organization
- Organization Name
- Pediatric Cardiology Assoc PA
- Primary Specialty
- Pediatrics - Pediatric Cardiology
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Aug 28, 2017
Practice Location
- Address
- 71 US ROUTE 1
- Address 2
- SUITE C
- City
- Scarborough
- State
- Maine
- ZIP Code
- 04074-7173
- Phone
- (207) 883-5532
Authorized Official
- Name
- DR. JON PATRICK DONNELLY, MD
- Title
- PRESIDENT
- Phone
- (207) 883-5532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Cardiology — Pediatric Cardiology |
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