Individual
JOHN GORDON HALDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT794
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098822
ANTHEM
ME
05
—
312660099
—
ME
01
—
3519267
CIGNA
ME
01
—
7938937
AETNA
ME
01
—
AA88121
HARVARD PILGRIM
ME
Enumeration date
08/10/2006
Last updated
03/03/2016
Update your record
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