Individual
JUDITH ZIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1381
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018397
ANTHEM
—
01
—
1040880
AETNA
—
05
—
289700099
—
ME
Enumeration date
03/18/2006
Last updated
01/25/2012
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