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MR. ROBERT EVAN WAXMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
(603) 640-1228
Mailing address
716 STEVENS AVENUE, HERSEY HALL, ROOM 108, PORTLAND, ME 04103

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3039
NH
363A00000X
Physician Assistant

Other

Enumeration date
09/28/2023
Last updated
12/16/2025
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