Individual provider · NPI-1

Alison Jean Mehlhorn Disciullo, MD

Obstetrics & Gynecology, Maternal & Fetal Medicine · Portland, ME

NPI number1730684259
StatusActive
Last updated in NPPESApr 1, 2025

Details

NPI
1730684259
Entity type
Individual (NPI-1)
Name
Alison Jean Mehlhorn Disciullo
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 27, 2018
Certification date
Apr 1, 2025
Last updated
Apr 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal MedicineMD28909MEYes
207V00000X Obstetrics & GynecologyMTL004793DC
207V00000X Obstetrics & Gynecology0116031847VA
207V00000X Obstetrics & GynecologyMD28909ME

Other names

  • Alison Jean Mehlhorn (Former Name)

Practice location

887 Congress St Ste 200
Portland, ME 04102-3166

Phone 207-771-5549 · Fax 207-771-7834

Mailing address

887 Congress St Ste 200
Portland, ME 04102-3166

Phone 207-771-5549 · Fax 207-771-7834

Other practice locations

22 Bramhall St
Portland, ME 04102-3134

Phone 207-662-5400 · Fax 207-662-6219

22 S Greene St Dept Of
Baltimore, MD 21201-1544

Phone 410-328-8667

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