Whalio Doctors

NPI 1215038088

Ivan D Cardona, MD

Practitioner Allergy & Immunology Physician Portland, ME

Practice location

Address
195 Fore River Pkwy Suite 410, Portland, ME 04102
Phone
(207) 774-9839
Fax
(207) 761-2127

Registered specialties (3)

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 017151 (ME)
Specialist
Other Service Providers Taxonomy 174400000X Licence 017151 (ME)
Pediatric Allergy/Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 2080P0201X Licence 017151 (ME)

Registry record

NPI
1215038088
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Sep 2006
Record last updated
13 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.