IndividualActive
Jon Donnelly, M.D
NPI 1023102456 · Pediatric Cardiology Physician · Scarborough, ME
Provider details
- NPI number
- 1023102456
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- MD14324 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
71 US Route 1
Suite C
Scarborough, ME 04074-7173
Phone: (207) 883-5532
Approximate (ZIP-level) locationGet directions
Mailing address
5 Pearl Street
Cape Elizabeth, ME 04107
Additional practice locations (1)
- 93 Campus AveLewiston, ME 04240-6030Phone: (207) 755-3240Fax: (207) 755-3246
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2020-01-03
- Certified
- 2020-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.