IndividualActive
Thomas Van Der Kloot, M.D.
NPI 1720190044 · Pulmonary Disease Physician · South Portland, ME
Provider details
- NPI number
- 1720190044
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 015039 (ME)
Practice location
100 Foden Road
West Building Suite 103
South Portland, ME 04106
Phone: (207) 828-1122
Fax: (207) 828-0188
Mailing address
100 Foden Road
South Portland, ME 04106
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2013-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.