Individual
DR. EDWARD Z. WALWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 MAIN ST, LEWISTON, ME 04240-5801
(207) 783-1449
(207) 777-3865
Mailing address
PO BOX 4157, ST. MARY'S HEALTH SYSTEM, BOSTON, MH 02211-4157
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240490099
—
ME
Enumeration date
09/21/2005
Last updated
01/28/2009
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